Individual
ELIZABETH T SUMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 947-0673
(801) 740-2847
Mailing address
4624 N SPIDER LAKE RD, TRAVERSE CITY, MI 49696-8440
(231) 947-0673
(801) 740-2847
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
066633
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3190704
—
MI
05
—
3280294
—
MI
01
—
ES066633
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/23/2006
Last updated
07/27/2023
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