Most Relevant Information
Provider Data
| NPI Number: | 1003295148 |
| Provider Name: | SUSAN POPE |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/21/2015 |
| Last Updated: | 05/21/2015 |
Provider Practice Location
11747 UPTON RD
11747 UPTON RD
BATH
MI
488089435
Practice Location Phone/Fax
| Phone: | 5172043822 |
| Fax: |
Provider Mailing Location
11747 UPTON RD
11747 UPTON RD
BATH
MI
488089435
Provider Mailing Phone/Fax
| Phone: | 5172043822 |
| Fax: |