Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susan Marie Wassenhove, PA-C

Individual provider Family Medicine Physician · NPI 1861420341

Susan Marie Wassenhove, PA-C is a Family Medicine Physician in Mishawaka, Indiana. Licensed in Alaska, Arizona, Michigan and Wisconsin. Registered with an NPI since 2006.

Licensed in
AK, AZ, MI, WI
In the registry since
2006
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

812 W 4th St
Mishawaka, IN 46544-1738
Phone: (574) 255-1604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601001412 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1722 (AK)
Physician Assistant Taxonomy 363A00000X · Licence 2692-23, (WI)
Physician Assistant Taxonomy 363A00000X · Licence 4398 (AZ)

Record details

NPI number1861420341
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESFebruary 23, 2011

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