Individual
MS. SUSAN KATHARINE SANDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN,BC, AOCN
Contact information
Practice address
11100 EUCLID AVE, RADIATION ONCOLOGY, CLEVELAND, OH 44106-1716
(216) 844-2511
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP-06946
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3048240
—
OH
Enumeration date
10/02/2006
Last updated
11/29/2011
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