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SUE A KARNITIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
825 N MAIN STREET, SUITE 210, SPRINGBORO, OH 45066-1503
(937) 762-5500
(937) 762-5099
Mailing address
825 N MAIN STREET, SUITE 210, SPRINGBORO, OH 45066-1503
(937) 762-5500
(937) 762-5099

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35062496
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000141221
ANTHEM
OH
01
01930
PARAMOUNT
OH
01
0637763
AETNA
OH
05
0863927
OH
01
12-01219
UHC
OH
01
370012700
RRMC
OH
01
KO790972
MEDICARE
OH
Enumeration date
08/11/2005
Last updated
08/10/2016
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