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Individual

MS. SUSAN J. KRUEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C.

Contact information

Practice address
12301 SNOW RD, PARMA, OH 44130-1002
(216) 524-7377
(216) 265-4386
Mailing address
1001 LAKESIDE AVENUE, #1200, CLEVELAND, OH 44114

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-000799
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2283809
OH
Enumeration date
09/25/2006
Last updated
10/08/2013
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