# SUSAN C HASKELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598735102
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036.146713 | IL | — |
| 207Q00000X | Family Medicine Physician | 73851 | GA | Yes |
| 207Q00000X | Family Medicine Physician | H0079378 | MD | — |

## Other

- **Enumeration date:** 01/25/2006
- **Last updated:** 09/28/2023