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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN EDLIBI, M.D.

Active Sole Proprietor

SUSAN EDLIBI, M.D. is a Allergy & Immunology healthcare provider located in DETROIT, Michigan. NPI 1255825501 is currently active in the NPPES registry. Verify at CMS.

Allergy & Immunology · DETROIT, MI

Registration Details

NPI Number
1255825501
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2018 (8.1705517230128 yrs)
Last Updated
Jun 30, 2022
Licenses
4301114536 (MI)
4301114536 (MI)
43510399878 (MI)
43510399878 (MI)
Sole Proprietor
Yes

Practice Information

Address
2799 W GRAND BLVD
DETROIT, MI, 482022689
Browse MI providers · Browse ZIP 48202
Phone
3139164988
Primary Specialty
Allergy & Immunology
207RA0201X
Additional Specialty
Pediatrics
Additional Specialty
Pediatric Allergy/Immunology
Additional Specialty
Allergy & Immunology

Other Allergy & Immunology Providers in DETROIT, MI

Name Credential NPI
EDWARD M. ZORATTI M.D. 1134297674
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.