| Doctor Name: | SUSAN MARIE PEREZ |
| NPI Number: | 1013163047 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 4704150329 |
| Business Practice Address: | 117 W Paterson St Kalamazoo, MI - 490072557 |
| Business Phone Number: | 2693492641 |
| Business Fax Number: | |
| Mailing Address: | 117 W Paterson St, KALAMAZOO |
| State: | MI |
| Postal Code: | 490072557 |
| Phone Number: | 2693492641 |
| Fax Number: | |
| NPI Enumeration Date: | 08/11/2008 |
| NPI Last Update Date: | 08/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 4704150329 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |