Individual
SUSAN P. TOURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4000
Mailing address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4000
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
35092018
OH
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
4301087168
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000572192
ANTHEM
—
01
—
05086673
AETNA
OH
01
—
05506
PARAMOUNT
OH
01
—
05506
PARAMOUNT
—
05
—
2787686
—
OH
01
—
39093
MERIDIAN
OH
Enumeration date
06/06/2006
Last updated
11/03/2023
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