MEDICARE: SUSAN MERZWEILER MD

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	208000000X	Pediatrics Physician	35083175	OH

General Provider Information

NPI Number	:	1952315160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN MERZWEILER MD

Provider Business Mailing Address
First Line	:	1 PERKINS SQ
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44308-1063
Country	:	US
Telephone Number	:	330-626-4080
Fax Number	:	330-626-5821

Provider Business Practice Location Address
First Line	:	9318 STATE ROUTE 14
Second Line	:
City	:	STREETSBORO
State	:	OH
Zip	:	44241-5224
Country	:	US
Telephone Number	:	330-626-4080
Fax Number	:	330-626-5821

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	10/22/2014

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Directions to “ SUSAN MERZWEILER MD” Practice Location

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