| Suzana Stepanek Md | |
|
210 W Church St Ligonier PA 15658-1106 | |
| (724) 238-5667 | |
| (888) 364-8834 |
| Full Name | Suzana Stepanek Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 W Church St, Ligonier, Pennsylvania |
| Authorized Official Name and Position | Suzana Stepanek (PHYSICIAN) |
| Authorized Official Contact | 7242385667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzana Stepanek Md 210 W Church St Ligonier PA 15658-1106 Ph: (724) 238-5667 | Suzana Stepanek Md 210 W Church St Ligonier PA 15658-1106 Ph: (724) 238-5667 |
| NPI Number | 1194301275 |
|---|---|
| Provider Enumeration Date | 03/20/2021 |
| Last Update Date | 03/20/2021 |
| Medicare PECOS PAC ID | 6103235999 |
|---|---|
| Medicare Enrollment ID | O20210506003125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194301275 | NPI | - | NPPES |
| MD062765L | Other | PA | LICENSE NUMBER |
| MD06265L | Other | PA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Suzana Stepanek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679511091 PECOS PAC ID: 9335186279 Enrollment ID: I20090817000226 |
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