| Lisa Susalla, | |
|
2412 Windemere Rd, Birmingham, MI 48009-7518 | |
| (248) 816-0578 | |
| Not Available |
| Full Name | Lisa Susalla |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 2412 Windemere Rd, Birmingham, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346661188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704149927 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Susalla, 2412 Windemere Rd, Birmingham, MI 48009-7518 Ph: (248) 816-0578 | Lisa Susalla, 2412 Windemere Rd, Birmingham, MI 48009-7518 Ph: (248) 816-0578 |
Nadine Klait, RN, BSN, MSN, FNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 255 S Old Woodward Ave, Birmingham, MI 48009 Phone: 313-377-0855 | |
Kimberly A Radakovic, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1941 Graefield Rd, Birmingham, MI 48009 Phone: 586-354-7967 |