Individual
MR. JOEL M SUCKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
773 LINDA AVE NE, KEIZER, OR 97303
(971) 808-2854
(888) 256-7959
Mailing address
773 LINDA AVE NE, KEIZER, OR 97303-4549
(971) 808-2854
(888) 256-7959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD28195
OR
Other
Enumeration date
07/17/2008
Last updated
12/11/2020
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