| Dr Suzanne M Millican, MD | |
| 
					19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064  | |
| (586) 779-9400 | |
| Not Available | 
| Full Name | Dr Suzanne M Millican | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology | 
| Location | 19714 E 10 Mile Rd, Saint Clair Shores, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033129630 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301067742 (Michigan) | Primary | 
| Entity Name | Beaumont Medical Group Hospital Based Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Suzanne M Millican, MD 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064 Ph: (586) 779-9400  | Dr Suzanne M Millican, MD 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064 Ph: (586) 779-9400  | 
Dr. Andrea Maria Abessinio, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 22811 Greater Mack Ave, Suite 106, Saint Clair Shores, MI 48080 Phone: 586-772-6822 Fax: 586-772-6632  | |
Regina Frost, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 22050 Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-777-2550 Fax: 586-777-2447  | |
Dr. Joyce Catherine Purakal, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 102, Saint Clair Shores, MI 48081 Phone: 586-447-5100 Fax: 586-447-5090  | |
Kelly Marie Larimore, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081 Phone: 586-498-4400  | |
Wontika R. Smith, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-779-9400 Fax: 586-772-1440  | |
Thomas R Hartzell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd, Ste 102, Saint Clair Shores, MI 48081 Phone: 800-848-0202 Fax: 586-226-6949  |