Individual
SUSAN ANN HOLLOBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
9500 MENTOR AVE, SUITE 100, MENTOR, OH 44060-8713
(440) 352-4880
(440) 352-3629
Mailing address
9500 MENTOR AVENUE, SUITE 100, MENTOR, OH 44060-8713
(440) 352-4880
(440) 352-3629
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1142
OH
Other
Enumeration date
06/14/2007
Last updated
03/03/2021
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