Individual
SHANNON RENAE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1103 VILLAGE SQUARE DR, SUITE 101, PERRYSBURG, OH 43551-1783
(419) 872-3219
(419) 872-3208
Mailing address
5901 MONCLOVA RD, MAUMEE, OH 43537
(419) 872-3201
(419) 872-3208
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34.008522
OH
207V00000X
Obstetrics & Gynecology Physician
BL9255058
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2604793
—
OH
Enumeration date
12/22/2005
Last updated
01/18/2011
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