| Susan D Charlamb M D P C | |
|
5600 W Maple Rd Suite C304 W Bloomfield MI 48322-3704 | |
| (248) 855-5540 | |
| (248) 855-4877 |
| Full Name | Susan D Charlamb M D P C |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5600 W Maple Rd, W Bloomfield, Michigan |
| Authorized Official Name and Position | Susan D Charlamb (OWNER) |
| Authorized Official Contact | 2488555540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan D Charlamb M D P C 5600 W Maple Rd Suite C304 W Bloomfield MI 48322-3704 Ph: (248) 855-5540 | Susan D Charlamb M D P C 5600 W Maple Rd Suite C304 W Bloomfield MI 48322-3704 Ph: (248) 855-5540 |
| NPI Number | 1184837734 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 06/23/2010 |
| Medicare PECOS PAC ID | 9638277130 |
|---|---|
| Medicare Enrollment ID | O20070607000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184837734 | NPI | - | NPPES |
| 260F379200 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301043021 (Michigan) | Primary |
| Provider Name | Susan D Charlamb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396826418 PECOS PAC ID: 4880696343 Enrollment ID: I20070213000176 |
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