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Organization
DIRECT MEDICAL PLLC
Active
Organization
DIRECT MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE OSANTOWSKI LPN (OWNER/NURSE)
(248) 246-0533
Entity
Organization
Contact information
Practice address
22150 GREENFIELD RD, SUITE 203, OAK PARK, MI 48237-2535
(248) 246-0533
Mailing address
22150 GREENFIELD RD, SUITE 203, OAK PARK, MI 48237-2535
(248) 246-0533
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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