Individual
MARY VANSUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7281 SAWMILL RD STE 100, DUBLIN, OH 43016-9021
(614) 764-0707
Mailing address
7281 SAWMILL RD STE 100, DUBLIN, OH 43016-9021
(614) 764-0707
(614) 764-1707
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831397470
—
OH
Enumeration date
05/20/2022
Last updated
03/29/2023
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