Individual
SULMAN HANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
33100 S GRATIOT AVE, CLINTON TWP, MI 48035-4036
(586) 294-0120
Mailing address
735 JOHN R RD STE 150, TROY, MI 48083-5859
(248) 588-9300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005034
MI
152W00000X
Optometrist
OEG003141
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255887584
—
MI
01
—
13854019
CAQH NUMBER
PA
Enumeration date
08/28/2016
Last updated
09/04/2019
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