Individual
SUSAN TERI MCGILLIS
Active
Individual
SUSAN TERI MCGILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35058536M
OH
207N00000X
Dermatology Physician
MD430176
PA
207ND0101X
MOHS-Micrographic Surgery Physician
MD430176
PA
207NS0135X
Procedural Dermatology Physician
Primary
MD430176
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0761046
—
OH
Enumeration date
04/13/2006
Last updated
12/22/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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