institution
Susan Koslow M.d.,inc
Radiology Clinic/Center in Terre Haute, Indiana
NPI 1497028989

Susan Koslow M.d.,inc is a Radiology Clinic/Center based in Terre Haute, IN and is specialized in Radiology. Susan Koslow M.d.,inc practices in Terre Haute, IN. The NPI Number for Susan Koslow M.d.,inc is 1497028989 and holds a License No. 01042883A (Indiana).

The current practice location address for Susan Koslow M.d.,inc is 477 E Trailwood Dr, Terre Haute, IN and can be reached out via phone at 812-234-4243 and via fax at 812-478-3663.

Location: 477 E Trailwood Dr, Terre Haute, IN, 47801-0037
institution
Provider Profile Details
NPI Number
1497028989
Provider Name
Susan Koslow M.d.,inc
Credential
Provider Entity Type
Organization
Address
477 E Trailwood Dr, Terre Haute, IN, 47801-0037
Phone Number
812-234-4243
Fax Number
812-478-3663
Provider Enumeration Date
02/15/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
100462130A 05 IN
M100067995 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
477 E Trailwood Dr
City
State
Zip
47802-9606
Phone Number
812-234-4243
Fax Number
812-478-3663
person
Provider Business Mailing Address Details
Address
477 E Trailwood Dr
City
State
Zip
47802-9606
Phone Number
812-234-4243
Fax Number
812-478-3663
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
01042883A (Indiana)
Definition
Definition to come...
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