Individual
SUSAN MATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-1687
(734) 407-2500
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-1687
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704188871
MI
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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