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Individual

DR. SUSAN MCCREADIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2350 WASHTENAW AVE, STE 24, ANN ARBOR, MI 48104-4532
(734) 213-0255
(734) 213-0241
Mailing address
2350 WASHTENAW AVE, STE 24, ANN ARBOR, MI 48104-4532
(734) 213-0255
(734) 213-0241

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301072258
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3506345401
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/01/2006
Last updated
07/08/2007
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