Individual
MRS. SUSAN M FLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11100 EUCLID AVE, LAKESIDE 4TH FLOOR UROLOGY SUITE, CLEVELAND, OH 44106-1716
(216) 844-3085
(216) 844-7735
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3009
(216) 844-1900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
09704NP
OH
363LA2200X
Adult Health Nurse Practitioner
COA.09704-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2839343
—
OH
01
—
464794
WELLCARE
OH
Enumeration date
10/11/2007
Last updated
01/22/2021
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