# SUS PROFESSIONAL MEDICAL SERVICE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700969417
- **Authorized official:** DR. HUEI YEN SU MD (PHYSICIAN)
- **Authorized official phone:** (248) 652-9666

## Contact information

- **Practice address:** 455 S LIVERNOIS RD, STE A-23, ROCHESTER HILLS, MI 48307-2578
- **Practice address phone:** (248) 652-9666
- **Practice address fax:** (248) 652-9660
- **Mailing address:** 455 S LIVERNOIS RD, STE A-23, ROCHESTER HILLS, MI 48307-2578
- **Mailing address phone:** (248) 652-9666
- **Mailing address fax:** (248) 652-9660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 4301043793 | MI | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/22/2020