Individual
SUZANNE MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3502
(586) 214-3794
Mailing address
22644 EDDY DR, MACOMB, MI 48044-3727
(586) 214-3794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704287458
MI
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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