Individual
SUSAN MARIA CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002287RX
OH
363A00000X
Physician Assistant
PA9101524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291083700
—
FL
01
—
9358461
MCR GROUP
OH
Enumeration date
03/17/2006
Last updated
05/28/2026
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