Individual
DR. SUMAN K MISHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
306 REICHELDERFER RD, CRIDERSVILLE, OH 45806-2252
(419) 645-4343
(419) 645-4443
Mailing address
306 REICHELDERFER RD, CRIDERSVILLE, OH 45806-2252
(419) 645-4343
(419) 645-4443
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
041221
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360416
—
OH
01
—
1053365882
GROUP NPI AFFILIATION
OH
Enumeration date
09/20/2005
Last updated
10/01/2012
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