Individual
DR. SUSANNA O BUCHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
91 MACK BAYOU LOOP, SANTA ROSA BEACH, FL 32459-2604
(850) 659-6556
Mailing address
91 MACK BAYOU LOOP, SANTA ROSA BEACH, FL 32459-2604
(850) 659-6556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME90657
FL
Other
Enumeration date
09/09/2005
Last updated
11/18/2019
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