MEDICARE: DR. SUZANNE MICHELLE HAROLD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	88128	OH

General Provider Information

NPI Number	:	1538263215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUZANNE MICHELLE HAROLD M.D.

Provider Business Mailing Address
First Line	:	4634 HILLS AND DALES RD NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708-1510
Country	:	US
Telephone Number	:	330-477-0255
Fax Number	:

Provider Business Practice Location Address
First Line	:	4634 HILLS AND DALES RD NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708-1510
Country	:	US
Telephone Number	:	330-477-0255
Fax Number	:	330-477-7266

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	09/04/2014

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