SUSAN PARKS-DEKORTE

BINGHAM FARMS, MI
NPI1710944459
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MI  4704124147)
Enumeration Date2006-04-27
Last Update Date2007-07-08
Business Address
-- SUSAN PARKS-DEKORTE CRNA
30200 TELEGRAPH RD SUITE 220
BINGHAM FARMS, MI 48025-4502
Phone number: 248-258-5058
Mailing Address
-- SUSAN PARKS-DEKORTE CRNA
10274 S BAY DR
LAINGSBURG, MI 48848-9785
Phone number:
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