Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 57018810 | OH |
N | 111NI0900X | Internist | 57018810 | OH |
NPI | 1003117383 |
---|---|
Provider Name | Gretchen Suarez |
First Address | Cincinnati, OH 45212-3397 |
Second Address | Cincinnati, OH 45242-4402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2010 |
Last Update Date | 23/03/2021 |