Suezette Olaker, MD, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SUEZETTE OLAKER, MD, PC

Practice address

2711 E Jefferson Ave
Detroit, MI 48207-4105

Phone

(313) 637-1600

NPI assigned

Dec 18, 2019

Organization subpart

No

Name

Suezette Olaker, MD

Title

Resident Agent

Phone

(313) 637-1600

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2019.

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1831737071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074105",
            "telephone_number": "313-637-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUEZETTE OLAKER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "OLAKER",
        "authorized_official_first_name": "SUEZETTE",
        "authorized_official_title_or_position": "RESIDENT AGENT",
        "authorized_official_telephone_number": "313-637-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Detroit",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2711 E Jefferson Ave",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482074105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.