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Individual

DR. DANIEL SUSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1530 LONE OAK RD, PADUCAH, KY 42003-7901
(270) 444-2481
Mailing address
181 MONT BLANC WAY, MT CHARLESTON, NV 89124-9122
(702) 493-5203

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10116
NV
2084P0800X
Psychiatry Physician
35565
KY
2084P0802X
Addiction Psychiatry Physician
01055808A
IN
2084P0802X
Addiction Psychiatry Physician
3148
AK
2084P0805X
Geriatric Psychiatry Physician
XS6928886
TN

Other

Enumeration date
06/11/2006
Last updated
06/21/2012
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