Individual
SUSAN SCHRIMPF DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
305 CRESCENT AVE, UNIVERSITY WYOMING FAMILY PRACTICE CENTER, CINCINNATI, OH 45215-4406
(513) 821-0275
(513) 821-3621
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
34-006680
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2158801
—
OH
Enumeration date
12/09/2005
Last updated
06/13/2017
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