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1053368480
SUSAN HEINZ FUNKE
HAGERSTOWN, MD
NPI
1053368480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD R144314)
Enumeration Date
2006-05-30
Last Update Date
2021-05-24
Business Address
SUSAN HEINZ FUNKE C.N.M.
1165 IMPERIAL DRIVE SUITE 300
HAGERSTOWN, MD 21740
Phone number: 301-665-9098
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Mailing Address
SUSAN HEINZ FUNKE C.N.M.
8110 MAPLE LAWN BLVD STE 235
FULTON, MD 20759-2694
Phone number: 301-340-8339
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