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Susan J. Kennedy, MD, PC

Obstetrics & Gynecology, Gynecology in Ann Arbor, MI. Organization (NPI-2).

NPI number1093019200
StatusActive
Last updated in NPPESJan 3, 2011

Details

NPI
1093019200
Entity type
Organization (NPI-2)
Legal business name
Susan J. Kennedy, MD, PC
Organization subpart
No
Enumeration date
Jan 3, 2011
Last updated
Jan 3, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, Gynecology4301029292MIYes

Practice location

2301 S Huron Pkwy
Suite 3d
Ann Arbor, MI 48104-5133

Phone 734-971-8815 · Fax 734-971-8881

Mailing address

2301 S Huron Pkwy
Suite 3d
Ann Arbor, MI 48104-5133

Phone 734-971-8815 · Fax 734-971-8881

Authorized official

Sheryl Ann Felice
Office Manger
7349718815

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