Individual
SUSAN TOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33001 SOLON RD, SOLON, OH 44139-2839
(440) 349-2516
Mailing address
10632 TUDOR CIR, NORTH ROYALTON, OH 44133-1985
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35074150W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0824700
—
OH
01
—
942460636106
CARESOURCE
OH
Enumeration date
06/09/2006
Last updated
07/08/2007
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