Individual
SUSAN STEPHANIE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4260 PLYMOOUTH RD, ANN ARBOR, MI 48108
(734) 764-6831
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704093009
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00196122
RR MEDICARE
MI
01
—
SW093009
BLUE SHIELD
MI
Enumeration date
08/29/2006
Last updated
07/08/2007
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