Most Relevant Information
Provider Data
| NPI Number: | 1003314519 |
| Provider Name: | SUZANNE KATHLEEN HARMON |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 2601000112 |
Most Important Dates
| Enumeration Date: | 01/30/2018 |
| Last Updated: | 01/30/2018 |
Provider Practice Location
1201 E MICHIGAN AVE
JACKSON
MI
492011852
Practice Location Phone/Fax
| Phone: | 5172051802 |
| Fax: |
Provider Mailing Location
12018 SWAN VIEW DR
BROOKLYN
MI
492308536
Provider Mailing Phone/Fax
| Phone: | 5174147455 |
| Fax: |