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NPI Code Detail

MEDICARE: MISS SUSANNAH BLISS WINGFIELD

MEDICARE: MISS SUSANNAH BLISS WINGFIELD
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
1104100000XSocial Worker6801102784MI

General Provider Information

NPI Number : 1922592328
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SUSANNAH BLISS WINGFIELD
Provider Business Mailing Address
First Line : 5200 STECKER ST
Second Line :
City : DEARBORN
State : MI
Zip : 48126-3813
Country : US
Telephone Number : 828-713-7567
Fax Number :
Provider Business Practice Location Address
First Line : 5200 STECKER ST
Second Line :
City : DEARBORN
State : MI
Zip : 48126-3813
Country : US
Telephone Number : 828-713-7567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2018
Last Update Date : 12/05/2024

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Directions to “ MISS SUSANNAH BLISS WINGFIELD ” Practice Location

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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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