Individual
SUSAN K WEIR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3535 W 13 MILE RD, ROYAL OAK, MI 48073-6710
(248) 288-2210
(248) 589-9875
Mailing address
3535 W 13 MILE RD, ROYAL OAK, MI 48073-6710
(248) 288-2210
(248) 589-9875
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301079901
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301079901
MEDICAL LICENSE
MI
Enumeration date
05/17/2006
Last updated
07/08/2007
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