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Contact Information

SUSAN M KILLAM, RN,MSN,NP
NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY
220 W. GARFIELD STREET
CHARLEVOIX, MI49720
 Phone: 231-547-6523
 Fax: 231-547-6238
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUSAN M KILLAM · (Female)

NPI Number 1629191648
Status Active
Credentials RN,MSN,NP
Entity Individual
Enumeration date 04/06/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704087772
  • MI Other SK087772 BCBSM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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