Individual
MR. MARK SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1570
(614) 234-6000
Mailing address
6001 E BROAD ST, COLUMBUS, OH 43213-1570
(614) 234-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.004373RX
OH
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/20/2011
Last updated
12/10/2018
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