Individual
BRUCE A SUCHLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
640 E MAIN ST, SAINT HENRY, OH 45883-9701
(419) 763-4178
(419) 763-4184
Mailing address
640 E MAIN ST, SAINT HENRY, OH 45883-9701
(419) 763-4178
(419) 763-4184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.13320-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064996
—
OH
Enumeration date
05/11/2012
Last updated
03/27/2017
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