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Individual

SUZIE C NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1010 VALLEY ST, DAYTON, OH 45404-2070
(937) 641-4040
(937) 641-3066
Mailing address
PO BOX 933421, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
01060785A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35.145399
OH
2084P0804X
Child & Adolescent Psychiatry Physician
47845
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0491966
OH
Enumeration date
04/14/2008
Last updated
05/13/2025
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