| Doctor Name: | DR. SUSAN ATKIN |
| NPI Number: | 1013037316 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 4301085875 |
| Business Practice Address: | 1500 E. Medical Center Dr 1h247, Box 0048 Ann Arbor, MI - 48109 |
| Business Phone Number: | 7349364280 |
| Business Fax Number: | 7349369091 |
| Mailing Address: | 2124 Scott Ave, CHARLOTTE |
| State: | NC |
| Postal Code: | 282036050 |
| Phone Number: | 2488606311 |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2007 |
| NPI Last Update Date: | 12/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 4301085875 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |