Individual
DR. MARIKO SUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
47822
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039906262R
HUMANA
—
05
—
1285685933
—
WI
Enumeration date
05/15/2006
Last updated
03/13/2024
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