Organization
SUS PROFESSIONAL MEDICAL SERVICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUEI YEN SU MD (PHYSICIAN)
(248) 652-9666
Entity
Organization
Contact information
Practice address
455 S LIVERNOIS RD, STE A-23, ROCHESTER HILLS, MI 48307-2578
(248) 652-9666
(248) 652-9660
Mailing address
455 S LIVERNOIS RD, STE A-23, ROCHESTER HILLS, MI 48307-2578
(248) 652-9666
(248) 652-9660
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301043793
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4404206
—
MI
Enumeration date
10/24/2006
Last updated
08/22/2020
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