Woltanski, Suzanne

Woltanski, Suzanne is an individual health care provider with primary practice located at 13355 E 10 Mile Rd , Warren MI 48089-2048. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Woltanski, Suzanne can be contacted via phone (586) 759-7510.

Contact Information

Primary practice address
13355 E 10 Mile Rd Warren MI 48089-2048
Fax: (586) 759-7791
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301059819 Michigan

Profile Details

NPI number 1205889920
LBN Legal business name Woltanski, Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205889920 NPPES
Michigan MEDICAID 4609286

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