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Individual

SUSAN D. WEINSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032.0107697
VT
207R00000X
Internal Medicine Physician
SW015533
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0A110280
BCBS
MI
01
P00285525
RAIL ROAD MEDICARE
MI
Enumeration date
03/23/2006
Last updated
03/19/2015
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