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Individual

SUZANNE DIETZ QUINTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1050 EAST GREENVILLE RD, ST MARYS, OH 45885-4588
(419) 394-3331
(419) 394-3330
Mailing address
1050 EAST GREENVILLE RD, ST MARYS, OH 45885-2622
(419) 394-3331
(419) 394-3330

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35 120090
OH
207N00000X
Dermatology Physician
35.12009
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0073592
OH
Enumeration date
04/15/2008
Last updated
01/09/2023
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