Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 48332 | MN |
Y | 207V00000X | Obstetrician & Gynecologist | 4301088283 | MI |
NPI | 1013965052 |
---|---|
Provider Name | Dr. Suzanne Michelle West |
First Address | Grand Rapids, MI 49503-2560 |
Second Address | Grand Rapids, MI 49534-4583 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 22/02/2021 |