Individual
SUZANNE BERNADETTE REECER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6280
(260) 435-7334
Mailing address
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6280
(260) 435-7334
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000959A
IN
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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