JOEL M SUCKOW-MD, LLC

KEIZER, OR
NPI1700335536
Entity TypeOrganization
Authorized ContactTRACY GONZALEZ
Credentialing Manager
541-941-7792
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: OR  OR MD28195)
Enumeration Date2016-09-21
Last Update Date2023-03-07
Business Address
JOEL M SUCKOW-MD, LLC
773 LINDA AVE NE
KEIZER, OR 97303-4549
Phone number: 971-808-2854
Mailing Address
JOEL M SUCKOW-MD, LLC
773 LINDA AVE NE
KEIZER, OR 97303-4549
Phone number: 503-585-7454