Provider Demographics
NPI:1033561311
Name:UHLMANN, SUE
Entity Type:Individual
Prefix:
First Name:SUE
Middle Name:
Last Name:UHLMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 N 11 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:48634-9820
Mailing Address - Country:US
Mailing Address - Phone:989-697-5805
Mailing Address - Fax:
Practice Address - Street 1:157 N 11 MILE RD
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:MI
Practice Address - Zip Code:48634-9820
Practice Address - Country:US
Practice Address - Phone:989-697-5805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker