Individual
DR. SUSAN BROKAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5340 MIAMI RD, CINCINNATI, OH 45243-3920
(513) 702-6877
Mailing address
5340 MIAMI RD, CINCINNATI, OH 45243-3920
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
57617
OH
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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