Individual
SUSAN SEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6900 ORCHARD LAKE RD, SUITE 315, WEST BLOOMFIELD, MI 48322-3405
(248) 470-3916
Mailing address
6900 ORCHARD LAKE RD, STE 204, WEST BLOOMFIELD, MI 48322-3425
(248) 470-3916
(678) 666-9686
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
SS012179
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256306825
BLUE CROSS TRADITIONAL
MI
05
—
4224306
—
MI
Enumeration date
05/01/2006
Last updated
11/07/2019
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