Susan K Bicknell, P.A.

NPI #1720100381 in Romulus, Michigan

Provider Information

NPI Number: 1720100381
Entity Type: Individual
Name: Susan K Bicknell, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Apr 4, 2007
Last Updated: Jun 30, 2009

Practice Location

Address: 11700 METRO AIRPORT CENTER DR
Address 2: SUITE 104
City: Romulus
State: Michigan
ZIP Code: 48174-1456
Phone: (734) 955-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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