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Individual

SUSAN FUNK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-11490
OH

Other

Enumeration date
06/09/2010
Last updated
06/09/2010
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