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Individual
DR. SUZANNE WEHRENBERG
Active
Individual
DR. SUZANNE WEHRENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301042419
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102410062
BCBS
MI
05
—
1023192564
—
MI
Enumeration date
10/24/2006
Last updated
02/04/2009
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