Organization · Type 2 NPI

Suburban Healthcare Organization PLLC

Adult Medicine Physician · Trenton, MI

NPI number 1790193324 Active

Practice location

1600 Kingsway Ct, Lower Level
Trenton, MI 48183-1962

Fax (734) 752-6559

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

4 other providers at this address

About NPI 1790193324

Suburban Healthcare Organization PLLC's National Provider Identifier is 1790193324, issued on Jul 28, 2014. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Trenton, MI. The record was last updated on Aug 19, 2014.