Individual
SUSAN GENETIN-GRONOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 PARK VILLAGE DR, LOUISVILLE, OH 44641-8445
(330) 875-1177
Mailing address
902 PARK VILLAGE DR, LOUISVILLE, OH 44641-8445
(330) 875-1177
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN217561
OH
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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