Organization
SUSAN MITHOFF QUADE OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN QUADE (OFFICE MANAGER)
(734) 676-4500
Entity
Organization
Contact information
Practice address
2299 WEST RD, TRENTON, MI 48183-3615
(734) 676-4500
(734) 676-1587
Mailing address
2299 WEST RD, TRENTON, MI 48183-3615
(734) 676-4500
(734) 676-1587
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4901003686
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900H22910
BLUE CROSS
MI
Enumeration date
01/15/2008
Last updated
06/15/2015
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