Organization Name: | SUSAN LITTLE JONES MD PC |
NPI Number: | 1427128925 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGARET A HUNKELE (OFFICE MANAGER) |
Mailing Address: | 75 Barclay Cir Suite 120 Rochester Hills |
State: | MI US |
Postal Code: | 483075820 |
Phone Number: | 2488440315 |
Fax Number: | 2488440320 |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 03/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | SL073954 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |