Organization
JUDITH A SUESS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH A SUESS M.D. (OWNER)
(517) 333-1709
Entity
Organization
Contact information
Practice address
1210 W SAGINAW ST, LANSING, MI 48915-1927
(517) 420-3404
(517) 364-7201
Mailing address
PO BOX 43, MASON, MI 48854-0043
(517) 623-6260
(517) 623-6460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301064415
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080C317830
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/16/2009
Last updated
04/06/2009
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