Individual
MANUEL SUELA OZOA
Active
Individual
MANUEL SUELA OZOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01033689A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000352644
ANTHEM BCBS
IN
05
—
100200780
—
IN
Enumeration date
08/15/2005
Last updated
05/25/2011
Update your record
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