Provider Demographics
NPI:1598214785
Name:SUMINSKI, ERIN
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:SUMINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ERIN
Other - Middle Name:MARIE
Other - Last Name:BRAGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2520 S TELEGRAPH RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0202
Mailing Address - Country:US
Mailing Address - Phone:248-335-9207
Mailing Address - Fax:248-335-2394
Practice Address - Street 1:2520 S TELEGRAPH RD STE 100
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0202
Practice Address - Country:US
Practice Address - Phone:248-335-9207
Practice Address - Fax:248-335-2394
Is Sole Proprietor?:No
Enumeration Date:2016-09-28
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704239432176B00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife