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NPI Code Detail

MEDICARE: SUSAN KUNITSER POLUS

MEDICARE: SUSAN KUNITSER POLUS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist916829MI

General Provider Information

NPI Number : 1508427931
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN KUNITSER POLUS
Provider Business Mailing Address
First Line : 300 NORTH AVE
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49017-3396
Country : US
Telephone Number : 269-245-8125
Fax Number : 269-245-8123
Provider Business Practice Location Address
First Line : 300 NORTH AVE
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49017-3396
Country : US
Telephone Number : 269-245-8125
Fax Number : 269-245-8123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2019
Last Update Date : 06/26/2019

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Directions to “ SUSAN KUNITSER POLUS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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