Individual
SUSAN ELLSPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 W COLUMBIA ST STE 200, EVANSVILLE, IN 47710-1756
(812) 425-2646
(812) 467-7209
Mailing address
PO BOX 631767, CINCINNATI, OH 45263-1767
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01093711A
IN
207Y00000X
Otolaryngology Physician
A177533
CA
390200000X
Student in an Organized Health Care Education/Training Program
4301111962
MI
Other
Enumeration date
05/05/2017
Last updated
06/20/2025
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