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NPI Code Detail

MEDICARE: MS. SUSAN SZUREK FNP

MEDICARE:  MS. SUSAN  SZUREK  FNP
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
1363LF0000XFamily Nurse Practitioner4704104724MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2500H201890OTHERMIBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1831191576
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN SZUREK FNP
Provider Business Mailing Address
First Line : 6200 INDIANWOOD TRL
Second Line :
City : BLOOMFIELD
State : MI
Zip : 48301-1459
Country : US
Telephone Number : 248-626-3834
Fax Number :
Provider Business Practice Location Address
First Line : 33475 PALMER RD
Second Line :
City : WESTLAND
State : MI
Zip : 48186-4614
Country : US
Telephone Number : 734-728-2423
Fax Number : 734-728-2183
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 09/04/2012

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Directions to “ MS. SUSAN SZUREK FNP” Practice Location

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