Individual
MADELINE JENKINS SUCCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
16310 W 12 MILE RD, SOUTHFIELD, MI 48076-2925
(248) 288-1810
(248) 288-1811
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704293191
MI
Other
Enumeration date
02/12/2016
Last updated
10/23/2020
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