Individual
MRS. EWELINA SUCHOCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(586) 604-4592
Mailing address
21830 BRANTINGHAM RD, MACOMB, MI 48044-6250
(586) 604-4592
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351052638
MI
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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