SearchIndiana363A00000X

Susan Wassenhove, PA-C

NPI 1861420341 · on the registry since 2006

Practice

Address
812 W 4th St
Mishawaka, IN 46544
Phone
(574) 255-1604

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
207Q00000X
363A00000X
363A00000X
Licence states on file
AK, MI, WI, AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-02-23

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 Indiana