Individual
SUZANNE WASMUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
20860 BALINSKI DR, CLINTON TOWNSHIP, MI 48038-5614
(586) 463-2695
Mailing address
20860 BALINSKI DR, CLINTON TOWNSHIP, MI 48038-5614
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501008073
MI
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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