Individual
IAN SETH SUZELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
43 W BROAD ST, NEWTON FALLS, OH 44444-1643
(330) 235-7445
(216) 201-8034
Mailing address
43 W BROAD ST, NEWTON FALLS, OH 44444-1643
(330) 235-7445
(216) 201-8034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-009428
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2919257
—
OH
Enumeration date
04/01/2009
Last updated
11/25/2020
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