Individual
DR. SUSAN MARY GELETKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9275 W CALLA RD, CANFIELD, OH 44406-9459
(330) 533-2775
Mailing address
9275 W CALLA RD, CANFIELD, OH 44406-9459
(330) 533-2775
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01047749A
IN
2085R0202X
Diagnostic Radiology Physician
036-104891
IL
2085R0202X
Diagnostic Radiology Physician
10836
NH
2085R0202X
Diagnostic Radiology Physician
168054-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
35.049584
OH
2085R0202X
Diagnostic Radiology Physician
4301071351
MI
2085R0202X
Diagnostic Radiology Physician
MD031019E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001534109
—
PA
05
—
0561673
—
OH
Enumeration date
06/23/2006
Last updated
08/04/2013
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