Individual
MS. KRISTINA M SUEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1142 E 9 MILE RD, HAZEL PARK, MI 48030-1901
(248) 817-4742
Mailing address
30 W MONROE ST STE 1200, CHICAGO, IL 60603-2420
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704222743
MI
363LG0600X
Gerontology Nurse Practitioner
4704222743
MI
Other
Enumeration date
02/18/2013
Last updated
05/18/2020
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