Individual
SUZANNE M. JERMSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
IHA HEMATOLOGY ONCOLOGY OAKLAND, 44405 WOODWARD AVENUE SUITE 202, PONTIAC, MI 48341-5023
(248) 858-2270
(248) 335-6171
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(248) 858-2270
(248) 335-6171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704207634
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H22914
BCBSM
MI
Enumeration date
06/29/2007
Last updated
10/17/2022
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