Individual
SUSIE LI TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12300 MCCRACKEN RD, GARFIELD HEIGHTS, OH 44125-2914
(216) 581-0500
Mailing address
5000 ACACIA CT, INDEPENDENCE, OH 44131-4618
(646) 315-1756
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0021057
OH
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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