| Doctor Name: | SUSAN OWENS |
| NPI Number: | 1063701688 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 4704150739 |
| Business Practice Address: | 202 Meadows Dr Grayling, MI - 497382013 |
| Business Phone Number: | 9893487800 |
| Business Fax Number: | |
| Mailing Address: | 6243 Deer Field Est, GRAYLING |
| State: | MI |
| Postal Code: | 497386442 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/04/2011 |
| NPI Last Update Date: | 04/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704150739 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |