Individual
DR. SUSAN MARIE MONK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1898
(937) 641-5355
Mailing address
700 FAR HILLS AVE, DAYTON, OH 45419-3411
(937) 293-0414
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38165
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0318874
—
OH
Enumeration date
06/10/2006
Last updated
07/08/2007
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