Susan E Holibaugh
Foot Surgery
1281 E Sherman Blvd 1281 E Sherman
Muskegon
, Michigan 49444
Susan E Holibaugh
Foot Surgery
1281 E Sherman Blvd 1281 E Sherman
Muskegon
, Michigan 49444
(231) 489-7500
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Susan E Holibaugh
- 1281 E Sherman Blvd
- Norton Shores, MI
- Zip : 49444-1846
- Fax : (231) 489-7500
- Phone : (231) 733-1511
Second Address
- Susan E Holibaugh
- 1281 E Sherman Blvd 1281 E Sherman
- Muskegon, MI
- Zip : 49444
- Fax : (231) 733-7980
- Phone : (231) 733-1511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 5901001528 | MI |
National Provider Identifier
| NPI | 1235107632 |
|---|---|
| Provider Name | Susan E Holibaugh |
| First Address | Norton Shores, MI 49444-1846 |
| Second Address | Muskegon, MI 49444 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2006 |
| Last Update Date | 16/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2693057 | (05) | MI |
| 4609590001 | ADMINASTAR DMERC (01) | MI |
| 4856110470 | BCBSM (01) | MI |
| U11009 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.