Individual
SUSAN E WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
23338 WOODWARD AVE, FERNDALE, MI 48220-1302
(248) 399-5900
Mailing address
30320 NORTHGATE DR, SOUTHFIELD, MI 48076-1029
(239) 849-8746
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30822400
—
FL
Enumeration date
01/04/2007
Last updated
05/21/2020
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