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Individual

SUSAN ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1949 W 12 MILE RD STE 100, BEAUMONT GERIATRIC SERVICES, BERKLEY, MI 48072-1868
(248) 551-1756
Mailing address
130 TOWN CENTER DR, STE 203, TROY, MI 48084-1744

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301065763
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0F349850
BCBSM
MI
05
4266950
MI
Enumeration date
03/14/2006
Last updated
04/07/2016
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