Individual
SUZANNE C COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4100 PARK FOREST DR, SUITE 208, TRAVERSE CITY, MI 49684-7331
(231) 935-9060
(231) 935-9045
Mailing address
4100 PARK FOREST DR, SUITE 208, TRAVERSE CITY, MI 49684-7331
(231) 935-9060
(231) 935-9045
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003399
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OB81010
BCBSM
MI
Enumeration date
11/27/2006
Last updated
08/29/2008
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