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Individual

SIMONA SUCHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
75 ARCH ST STE G2, AKRON, OH 44304-1430
(330) 375-4100
(330) 375-4097
Mailing address
75 ARCH ST STE G2, AKRON, OH 44304-1430
(330) 375-4100
(330) 375-4097

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
015581
ME
2084P0800X
Psychiatry Physician
Primary
35095988
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
027863
ANTHEM
05
3101155
OH
01
4308281
MEDICARE ID
OH
01
MM8882
MEDICARE ID
ME
Enumeration date
10/19/2005
Last updated
01/13/2012
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