Provider Demographics
NPI:1528187465
Name:SCHLAF, SUSAN MUNSEY (DC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:MUNSEY
Last Name:SCHLAF
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 BARCLAY CIRCLE
Mailing Address - Street 2:SUITE 145
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307
Mailing Address - Country:US
Mailing Address - Phone:248-289-1077
Mailing Address - Fax:248-289-1087
Practice Address - Street 1:705 BARCLAY CIRCLE
Practice Address - Street 2:SUITE 145
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307
Practice Address - Country:US
Practice Address - Phone:248-289-1077
Practice Address - Fax:248-289-1087
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISS006020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950F353290OtherBCBS MICHIGAN
MIP09440 003Medicare ID - Type Unspecified
MIR92059Medicare UPIN