Organization
SUSAN MARIE ARCENEAUX MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MARIE ARCENEAUX M.D. (PRESIDENT)
(330) 721-4776
Entity
Organization
Contact information
Practice address
805 E WASHINGTON ST, STE. 100, MEDINA, OH 44256-3340
(330) 721-4776
(330) 725-0054
Mailing address
805 E WASHINGTON ST, STE. 100, MEDINA, OH 44256-3340
(330) 721-4776
(330) 725-0054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35063143
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0903080
—
OH
Enumeration date
01/04/2008
Last updated
07/05/2012
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