Individual
SUSAN M DYKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9000 MENTOR AVE STE 100, MENTOR, OH 44060-4496
(216) 383-0100
(216) 383-6481
Mailing address
PO BOX 74568, CLEVELAND, OH 44194-0002
(440) 974-4411
(440) 974-4173
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35060874
OH
Other
Enumeration date
10/18/2006
Last updated
04/23/2014
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