Individual
SUSUMU INOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HURLEY PLZ, 3A-WB, FLINT, MI 48503-5902
(810) 762-7303
(810) 257-9736
Mailing address
1 HURLEY PLZ, SON, 5TH FLOOR, FLINT, MI 48503-5902
(810) 262-9353
(810) 760-0440
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
4301032759
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3512517601
BLUECROSS BLUE SHIELD #
MI
Enumeration date
10/03/2006
Last updated
06/26/2012
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