Organization
SUZETTE SANCHEZ, D.O., DERMATOLOGY, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY GRAY (BILLING MANAGER)
(616) 399-9040
Entity
Organization
Contact information
Practice address
3290 N WELLNESS DR, SUITE 260, HOLLAND, MI 49424-7259
(616) 399-9040
(616) 399-0934
Mailing address
3290 N WELLNESS DR, SUITE 260, HOLLAND, MI 49424-7259
(616) 399-9040
(616) 399-0934
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5101012352
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114620102
—
MI
Enumeration date
12/19/2006
Last updated
08/22/2020
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