Individual
WILMAR SUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3290 W BIG BEAVER RD STE 510, TROY, MI 48084-2917
(734) 513-2731
Mailing address
33150 SCHOOLCRAFT RD, LIVONIA, MI 48150-1646
(734) 513-2731
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
455246780
—
MI
Enumeration date
10/19/2018
Last updated
08/19/2021
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