SUSAN R GORMEZANO OD

HENRY FORD HEALTH SYSTEM

Dr SUSAN R GORMEZANO OD is a female medical professional, specializing in Optometry. She graduated in 1974 from Indiana University - School Of Optometry.

Contact

HENRY FORD HEALTH SYSTEM

24725 JEFFERSON AVE
SAINT CLAIR SHORES
MI
480804500

Tel: 5867747800

SUSAN R GORMEZANO OD Information

Npi 1881797322
Pac Id 6002706801
Professional Enrollment Id I20061003000730
Last Name GORMEZANO
First Name SUSAN
Middle Name R
Suffix
Gender F
Credential OD
Medical School Name INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduation Year 1974
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HENRY FORD HEALTH SYSTEM
Group Practice Pac Id 0547178311
Number Of Group Practice Members 1770
Line 1 Street Address 24725 JEFFERSON AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAINT CLAIR SHORES
State MI
Zip Code 480804500
Phone Number 5867747800
Hospital Affiliation Ccn 1 230053
Hospital Affiliation Lbn 1 HENRY FORD HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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