Provider Demographics
NPI:1841453586
Name:ROSS, SUZANNE V (MD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:V
Last Name:ROSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4014 RIVER RD STE 6
Mailing Address - Street 2:
Mailing Address - City:EAST CHINA
Mailing Address - State:MI
Mailing Address - Zip Code:48054-2916
Mailing Address - Country:US
Mailing Address - Phone:810-329-6677
Mailing Address - Fax:810-329-5730
Practice Address - Street 1:4014 RIVER RD STE 6
Practice Address - Street 2:
Practice Address - City:EAST CHINA
Practice Address - State:MI
Practice Address - Zip Code:48054-2916
Practice Address - Country:US
Practice Address - Phone:810-329-6677
Practice Address - Fax:810-329-5730
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2017-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301092496207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine