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Individual

MS. SUSAN J RUZICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN. 241992
OH
363LA2200X
Adult Health Nurse Practitioner
RN241992
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0904749
OH
01
9363683
MEDICARE
OH
Enumeration date
07/27/2006
Last updated
01/12/2021
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