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Individual

DR. HESTER SUSIE PERNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
20001 W 7 MILE RD, DETROIT, MI 48219-3403
(313) 794-5111
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(313) 794-5111

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301041286
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4301041286
STATE ID NUMBER
MI
Enumeration date
09/05/2006
Last updated
07/15/2021
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