Individual
SUZANNE SHELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2002 MEDICAL PKWY STE 235, ANNAPOLIS, MD 21401-3260
(410) 266-2770
(410) 841-6251
Mailing address
2002 MEDICAL PKWY STE 235, ANNAPOLIS, MD 21401-3260
(410) 266-2770
(410) 841-6251
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110001473
VA
363AS0400X
Surgical Physician Assistant
Primary
C0006430
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125144900
—
MD
Enumeration date
05/08/2006
Last updated
09/04/2019
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