Provider Demographics
NPI:1215016811
Name:JONES, SUZANNE E (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:E
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:760 W EISENHOWER PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-5890
Mailing Address - Country:US
Mailing Address - Phone:734-213-3700
Mailing Address - Fax:734-213-3706
Practice Address - Street 1:760 W EISENHOWER PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-5890
Practice Address - Country:US
Practice Address - Phone:734-213-3700
Practice Address - Fax:734-213-3706
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2021-06-24
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Provider Licenses
StateLicense IDTaxonomies
MI4301072292208600000X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No202K00000XAllopathic & Osteopathic PhysiciansPhlebology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIH89662Medicare UPIN