Individual provider · NPI-1

Susan Hahn, OD

Optometrist · Royal Oak, MI

NPI number1801012224
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1801012224
Entity type
Individual (NPI-1)
Name
Susan Hahn
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 17, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist4901002696MIYes

Practice location

3601 W 13 Mile Rd
Fsc
Royal Oak, MI 48073-6712

Phone 248-423-2454 · Fax 248-423-2576

Mailing address

3601 W 13 Mile Rd
Fsc
Royal Oak, MI 48073-6712

Phone 248-423-2454 · Fax 248-423-2576

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