Susan L Millard
Pediatric Pulmonologist
35 Michigan Ne Suite 3003
Grand Rapids
, Michigan 49503
Susan L Millard
Pediatric Pulmonologist
35 Michigan Ne Suite 3003
Grand Rapids
, Michigan 49503
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About
Features
Specialties
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Susan L Millard
- 100 Michigan St Ne Mc 845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Susan L Millard
- 35 Michigan Ne Suite 3003
- Grand Rapids, MI
- Zip : 49503
- Fax : (616) 267-2201
- Phone : (616) 267-2200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0214X | Pediatric Pulmonologist | 4301407329 | MI |
National Provider Identifier
| NPI | 1144296344 |
|---|---|
| Provider Name | Susan L Millard |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Grand Rapids, MI 49503 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2006 |
| Last Update Date | 18/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0410802 | BCBS (01) | MI |
| 0M74460074 | MEDICARE ID (01) | MI |
| 1144296344 | (05) | MI |
| 1558407189 | GROUP NPI (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.