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Individual

DR. RICHARD JOSEPH SUROWIEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
921 S. EDWIN C. MOSES BLVD., DAYTON, OH 45417
(937) 461-1376
(937) 461-9280
Mailing address
921 S. EDWIN C. MOSES BLVD., DAYTON, OH 45417
(937) 461-1376
(937) 461-9280

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.095500
OH
208000000X
Pediatrics Physician
35.095500
OH

Other

Enumeration date
04/12/2007
Last updated
12/04/2014
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