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Organization

SUZANA STEPANEK MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANA STEPANEK MD (PHYSICIAN)
(724) 238-5667
Entity
Organization

Contact information

Practice address
210 W CHURCH ST, LIGONIER, PA 15658-1106
(724) 238-5667
(888) 364-8834
Mailing address
210 W CHURCH ST, LIGONIER, PA 15658-1106
(724) 238-5667

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD06265L
LICENSE NUMBER
PA
01
MD062765L
LICENSE NUMBER
PA
Enumeration date
03/20/2021
Last updated
03/20/2021
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