Individual
PHYLLIS A SURMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
28050 GRAND RIVER AVE, TRACC, FARMINGTON HILLS, MI 48336-5919
(248) 471-8000
Mailing address
28050 GRAND RIVER AVE, TRACC, FARMINGTON HILLS, MI 48336-5919
(248) 471-8000
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
4704146111
MI
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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