Individual
DR. MEHGAN M SUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1155 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7906
(570) 808-3362
(570) 808-5114
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC006388
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006388
PA
Other
Enumeration date
06/26/2012
Last updated
08/17/2020
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