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Individual
DR. SUZANNE WILLARD NIEMELA
Active
Individual
DR. SUZANNE WILLARD NIEMELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0047311
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371201000
—
MD
01
—
53450302
CAREFIRST
MD
01
—
J1740002
CAREFIRST
DC
Enumeration date
03/08/2006
Last updated
06/26/2014
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