Individual
SUZANNE M JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3990 JOHN R ST, HARPER HOSPITAL PATHOLOGY, DETROIT, MI 48201-2018
(313) 745-8555
(313) 745-9299
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(313) 745-8555
(313) 966-8989
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301052798
MI
Other
Enumeration date
06/02/2006
Last updated
10/25/2016
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