Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301091470 | MI |
N | 208000000X | Pediatrician | MD419585 | PA |
Y | 2080P0208X | Pediatric Infectious Diseases | 4301091470 | MI |
N | 2080P0208X | Pediatric Infectious Diseases | MD419585 | PA |
NPI | 1215950688 |
---|---|
Provider Name | Suzanne Rachel Dawid |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 25/06/2019 |