Individual
DR. MARY SUE J SYLWESTRZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301053077
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2886572
—
MI
01
—
3506337132
BLUE CROSS/BLUE SHIELD OF MI
MI
01
—
F28229
HAP INSURANCE PLAN
—
Enumeration date
11/23/2005
Last updated
06/03/2008
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