Organization
WHEATLAND DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE QUINTER MD (OWNER)
(419) 290-8672
Entity
Organization
Contact information
Practice address
1050 EAST GREENVILLE RD, ST MARYS, OH 45885-4588
(419) 394-3331
(419) 394-3330
Mailing address
1050 EAST GREENVILLE RD, ST MARYS, OH 45885-2622
(419) 394-3331
(419) 394-3330
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35120090
OH
Other
Enumeration date
05/07/2015
Last updated
01/09/2023
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