Most Relevant Information
Provider Data
| NPI Number: | 1003068222 |
| Provider Name: | PHYLLIS A SURMA RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WD0400X |
| Specialty: | Registered Nurse |
| License Number: | 4704146111 |
Most Important Dates
| Enumeration Date: | 10/21/2008 |
| Last Updated: | 10/21/2008 |
Provider Practice Location
28050 GRAND RIVER AVE
TRACC
FARMINGTON HILLS
MI
483365919
Practice Location Phone/Fax
| Phone: | 2484718000 |
| Fax: |
Provider Mailing Location
28050 GRAND RIVER AVE
TRACC
FARMINGTON HILLS
MI
483365919
Provider Mailing Phone/Fax
| Phone: | 2484718000 |
| Fax: |