Individual
DR. SUSAN ELLEN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8007 AUBURN RD STE 2, CONCORD TWP, OH 44077-9621
(440) 296-5915
(440) 709-8403
Mailing address
8007 AUBURN RD STE 2, CONCORD TWP, OH 44077-9621
(440) 296-5915
(440) 709-8403
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
35056000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0880480
—
OH
Enumeration date
05/22/2006
Last updated
03/24/2021
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