| Ms Suham Dara Salman, NP | |
|
18263 E 10 Mile Rd, Suite D, Roseville, MI 48066-5805 | |
| (586) 778-4950 | |
| (586) 778-4952 |
| Full Name | Ms Suham Dara Salman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 18263 E 10 Mile Rd, Roseville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326360504 | NPI | - | NPPES |
| 500E012730 | Other | MI | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704256711 (Michigan) | Primary |
| Entity Name | Great Lakes Urgent Care, PC of Eastside |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477978930 PECOS PAC ID: 7810120235 Enrollment ID: O20140508001412 |
| Entity Name | Great Lakes Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053787853 PECOS PAC ID: 1557679073 Enrollment ID: O20151002001904 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Suham Dara Salman, NP 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066-5805 Ph: (586) 778-4950 | Ms Suham Dara Salman, NP 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066-5805 Ph: (586) 778-4950 |
Ms. Rana Issa, DNP, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25710 Kelly Rd Ste 1, Roseville, MI 48066 Phone: 586-772-2600 |
Mrs. Christie Ann Schunemann, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30550 Utica Rd, Roseville, MI 48066 Phone: 734-464-0887 Fax: 734-402-0254 |
Diana Florence Stefanski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26390 Gratiot Ave, Roseville, MI 48066 Phone: 586-221-7020 |
Mrs. Beverly Ann Towner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25779 Kelly Rd, Suite C, Roseville, MI 48066 Phone: 586-774-0700 Fax: 586-774-9841 |
Linda Ann Mannino, APRN BC MSN CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25195 Kelly Rd, Suite A, Roseville, MI 48066 Phone: 586-775-4594 Fax: 586-775-4506 |
Mrs. Judith Ann Ogren, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25810 Kelly Rd, Ste 3, Roseville, MI 48066 Phone: 586-777-9724 |
Theresa Louise Emch, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28350 Gratiot Ave, Roseville, MI 48066 Phone: 586-775-2727 Fax: 586-775-1146 |