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NPI Code Detail

MEDICARE: MS. SUSAN JOYCE FRIEDMAN PA

MEDICARE: MS. SUSAN JOYCE FRIEDMAN PA
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
1363A00000XPhysician Assistant5601002525MI

General Provider Information

NPI Number : 1760470215
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN JOYCE FRIEDMAN PA
Provider Business Mailing Address
First Line : DEPT CH 17876
Second Line :
City : PALATINE
State : IL
Zip : 60055-0001
Country : US
Telephone Number : 248-893-3200
Fax Number : 248-893-2950
Provider Business Practice Location Address
First Line : 28455 HAGGERTY RD
Second Line : STE 200
City : NOVI
State : MI
Zip : 48377-2982
Country : US
Telephone Number : 248-893-3200
Fax Number : 248-893-2950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 01/16/2008

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Directions to “ MS. SUSAN JOYCE FRIEDMAN PA” Practice Location

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