Individual
SUSAN LYNN STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, EPILEPSY DEPARTMENT, CLEVELAND, OH 44195-0001
(216) 444-6771
Mailing address
4952 FAIRLAWN RD, LYNDHURST, OH 44124-1123
(440) 478-8438
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003363
OH
Other
Enumeration date
10/07/2011
Last updated
03/08/2016
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