Individual
DR. SUSAN ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2311 W HAYES AVE, FREMONT, OH 43420-2634
(419) 334-8121
(419) 332-9351
Mailing address
2311 W HAYES AVE, FREMONT, OH 43420-2634
(419) 334-8121
(419) 332-9351
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35095218
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3053449
—
OH
Enumeration date
04/30/2009
Last updated
08/15/2012
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