Individual
SUSAN FOWLER GUELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(540) 769-0976
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5353
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2009-01001
NC
2080P0210X
Pediatric Nephrology Physician
Primary
0101249088
VA
2080P0210X
Pediatric Nephrology Physician
2009-01001
NC
208D00000X
General Practice Physician
0101249088
VA
Other
Enumeration date
01/04/2007
Last updated
02/20/2025
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