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Individual

DR. SUZANNE GRACE AMIDON MAGRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
715 S TAFT AVE, FREMONT, OH 43420-3200
(419) 332-7321
Mailing address
11 PONDS SIDE DR, FREMONT, OH 43420-2677
(419) 333-0981

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-005775
OH

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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