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Individual
DR. SUSAN CALDWELL
Active
Individual
DR. SUSAN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301067975
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801900392
BCBS INDIVIDUAL PIN
MI
05
—
4125970
—
MI
Enumeration date
09/13/2006
Last updated
12/31/2007
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