Individual
SUZANNE WOLTANSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13355 E 10 MILE RD, WARREN, MI 48089-2048
(586) 759-7510
(586) 759-7791
Mailing address
29130 RIVERBANK ST, HARRISON TWP, MI 48045-1633
(586) 463-7432
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301059819
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4609286
—
MI
Enumeration date
05/17/2006
Last updated
07/08/2007
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