Individual
DR. SUSAN RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 EAGLE RIDGE DRIVE, SUITE 201, SCHERERVILLE, IN 46375
(219) 237-2079
(219) 595-5377
Mailing address
1500 EAGLE RIDGE DR STE 201, SCHERERVILLE, IN 46375-3228
(219) 237-2079
(219) 595-5377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01055919
IN
208000000X
Pediatrics Physician
01055919
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200397690
—
IN
Enumeration date
04/27/2006
Last updated
02/01/2021
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