Individual
KIMBERLEY ANN SUHANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
301 EXPLORER ST, GWINN, MI 49841-2813
(906) 346-4924
Mailing address
W 17530 CO RD H42, CURTIS, MI 49820
(906) 586-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101010115
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2750609
—
MI
01
—
700D81000
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
09/11/2006
Last updated
11/01/2019
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