Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 1315 | SD |
NPI | 1003881251 |
---|---|
Provider Name | Ms. Susan W Ramig |
First Address | Amagansett, NY 11930-7025 |
Second Address | Aberdeen, SD 57401-2322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 17/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
050071557 | RR MEDICARE (01) | |
D25558 | (02) |