Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35123733 | OH |
NPI | 1013229061 |
---|---|
Provider Name | Dr. Susan M Emmerling |
First Address | Dayton, OH 45415-1184 |
Second Address | Dayton, OH 45415 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2010 |
Last Update Date | 29/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0105039 | (05) | OH |