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Individual

SUSAN A WENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
3440 BURNET AVE, STE. 120, CINCINNATI, OH 45229-2833
(513) 751-5900
(513) 487-4596
Mailing address
4685 FOREST AVE, STE C, CINCINNATI, OH 45212-3359
(513) 569-5027
(513) 569-5199

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NM05810
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200409830A
IN
05
200409830B
IN
05
200409830C
IN
05
2260977
OH
05
78008661
KY
Enumeration date
03/16/2006
Last updated
08/16/2016
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