Individual
KATHERINE SUCHANEK BARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3555 W 13 MILE RD STE N120, ROYAL OAK, MI 48073-6710
(855) 863-8761
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1865
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704301554
MI
Other
Enumeration date
01/18/2021
Last updated
09/29/2023
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