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Individual
SUSAN KIRCHDOERFFER
Active
Individual
SUSAN KIRCHDOERFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0005798
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001166503
—
DE
01
—
350616UCA
MEDICARE
PA
Enumeration date
08/10/2006
Last updated
01/22/2015
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