Individual
MR. MARK A SUDIMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4591 CREEKSIDE DR, KENT, OH 44240-7376
(330) 524-9937
Mailing address
2313 S HAMETOWN RD, COPLEY, OH 44321-2454
(330) 524-9937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
357443
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
019368
OH
Other
Enumeration date
10/25/2016
Last updated
08/23/2022
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