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Susie Ivanov, PA-C
NPI 1750769253 · on the registry since 2015 · sole proprietor
Practice
- Address
- 427 Oregon St Apt 7
Cincinnati, OH 45202 - Phone
- (513) 807-5707
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Surgical Physician Assistant
Medical Physician Assistant - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio