Provider Demographics
NPI:1205817749
Name:HANSES, SUZANNE MARIE (DO)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:MARIE
Last Name:HANSES
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Gender:F
Credentials:DO
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Mailing Address - Street 1:4911 W ST JOE HWY
Mailing Address - Street 2:STE 102
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-4088
Mailing Address - Country:US
Mailing Address - Phone:517-853-3600
Mailing Address - Fax:517-853-0085
Practice Address - Street 1:4911 W ST JOE HWY
Practice Address - Street 2:STE 102
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-4088
Practice Address - Country:US
Practice Address - Phone:517-853-3600
Practice Address - Fax:517-853-0085
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2011-02-14
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Provider Licenses
StateLicense IDTaxonomies
MI5101010432208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery