Individual
SUSAN NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 BAY PARK DR, OREGON, OH 43616-4920
(419) 690-7900
Mailing address
2842 RIVER RD, MAUMEE, OH 43537
(419) 893-5485
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35055954
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246967
ANTHEM
OH
01
—
000000271446
ANTHEM BCBS
OH
01
—
000000550251
ANTHEM
OH
05
—
0760636
—
OH
05
—
4429958
—
MI
05
—
4486186
—
MI
01
—
810547599026
CARESOURCE
OH
Enumeration date
08/17/2005
Last updated
01/21/2010
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