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Individual
JASON NORBERT SUPPAN
Active
Individual
JASON NORBERT SUPPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-3017-S
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
36-00-3017-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528059391
NPI
OH
05
—
2012842
—
OH
Enumeration date
11/02/2005
Last updated
01/21/2026
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