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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN HATHAWAY

Active Sole Proprietor

SUSAN HATHAWAY is a Podiatric Surgery healthcare provider located in PORTLAND, Indiana. NPI 1093365355 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · PORTLAND, IN

Registration Details

NPI Number
1093365355
Provider Type
Individual
Gender
Female
NPI Issued
Sep 18, 2019 (6.9270079813736 yrs)
Last Updated
Sep 18, 2019
Sole Proprietor
Yes

Practice Information

Address
3783 WEST 800 SOUTH
PORTLAND, IN, 47371
Browse IN providers · Browse ZIP 47371
Phone
2607291153
Primary Specialty
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.