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Individual

DR. SUSAN M PERDUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
8470 MAIN ST, BIRCH RUN, MI 48415-9704
(989) 624-2020
(989) 624-6257
Mailing address
8470 MAIN ST, BIRCH RUN, MI 48415-9461
(989) 624-2020
(989) 624-6257

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003182
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0982400
HEALTHPLUS
MI
01
1891846812
DMERC
MI
05
4743837
MI
01
900G311760
BCBSM
MI
Enumeration date
11/02/2005
Last updated
12/15/2014
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