Organization
GENERATIONS WOMEN'S HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ELAINE CLARK MD (OWNER)
(330) 825-2355
Entity
Organization
Contact information
Practice address
1309 NORTON AVE, 100, NORTON, OH 44203
(330) 825-2355
(330) 706-0213
Mailing address
1309 NORTON AVE, 100, NORTON, OH 44203
(330) 825-2355
(330) 706-0213
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2422711
—
OH
Enumeration date
10/12/2006
Last updated
06/09/2008
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