Individual
JILLIAN ROSEMARY SUMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 STODDARD RD., MEMPHIS, MI 48041
(810) 392-2167
Mailing address
400 STODDARD RD., MEMPHIS, MI 48041
(810) 392-2167
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3980
SACRED HEART
MI
05
—
3980
—
MI
Enumeration date
12/16/2018
Last updated
12/16/2018
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