Individual
DR. SUZANNA ELENA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9175 CALUMET AVE, MUNSTER, IN 46321-2805
(219) 836-7800
Mailing address
8329 PARKVIEW AVE, MUNSTER, IN 46321-2027
(219) 923-2540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004074A
IN
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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