Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35121811 | OH |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 036134879 | IL |
NPI | 1225268535 |
---|---|
Provider Name | Susanne Taege |
First Address | Westerville, OH 43081-8734 |
Second Address | Westerville, OH 43081 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2009 |
Last Update Date | 27/09/2018 |