Individual
MS. SUHAM DARA SALMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
18263 E 10 MILE RD, SUITE D, ROSEVILLE, MI 48066-5805
(586) 778-4950
(586) 778-4952
Mailing address
18263 E 10 MILE RD, SUITE D, ROSEVILLE, MI 48066-5805
(586) 778-4950
(586) 778-4952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704256711
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500E012730
BCBS GROUP NUMBER
MI
Enumeration date
02/16/2010
Last updated
02/16/2010
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