JUDITH SUPANICH

ROYAL OAK, MI
NPI1649343104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MI  4704165264)
Enumeration Date2006-11-15
Last Update Date2022-07-21
Business Address
JUDITH SUPANICH CNM, RN, MS
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-557-3000
Mailing Address
JUDITH SUPANICH CNM, RN, MS
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1863
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