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Susan Mettille, PA-C
NPI 1790727410 · on the registry since 2006
Practice
- Address
- 2805 N Knoxville Ave
Peoria, IL 61604 - Phone
- (309) 624-9400
- Fax
- (309) 624-2280
- Organisation at this address
- Gianna Women'S Clinic Inc Nfp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-02-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois