Most Relevant Information
Provider Data
| NPI Number: | 1003477423 |
| Provider Name: | SUSAN SCULLON |
| Entity Type: | Individual |
| Taxonomy Code: | 163WH0200X |
| Specialty: | Registered Nurse |
| License Number: | 0000 |
Most Important Dates
| Enumeration Date: | 06/26/2019 |
| Last Updated: | 01/23/2023 |
Provider Practice Location
325 E H ST
IRON MOUNTAIN
MI
498014760
Practice Location Phone/Fax
| Phone: | 9067743300 |
| Fax: |
Provider Mailing Location
325 E H ST
IRON MOUNTAIN
MI
498014760
Provider Mailing Phone/Fax
| Phone: | 9067743300 |
| Fax: |