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Individual
MS. WENDY SUE SUCKOW
Active
Individual
MS. WENDY SUE SUCKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002372A
—
GA
05
—
102496300
—
FL
Enumeration date
03/11/2006
Last updated
12/27/2021
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