Search › Missouri › 103TH0100X
Paul Susic, MA
NPI 1790707123 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2451 Executive Dr. Ste. 103
St. Charles, MO 63303 - Phone
- (636) 300-9922
Registry record
- Primary taxonomy
- 103TH0100X
103TH0100X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Missouri