Provider Demographics
NPI:1316058993
Name:WILLIAMS, SUSAN E (MD, MS)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:E
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD, MS
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Mailing Address - Street 1:CLEVELAND CLINIC INTERNAL MEDICINE G 10
Mailing Address - Street 2:9500 EUCLID AVENUE
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-8542
Mailing Address - Fax:216-636-1228
Practice Address - Street 1:CLEVELAND CLINIC INTERNAL MEDICINE G 10
Practice Address - Street 2:9500 EUCLID AVENUE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-8542
Practice Address - Fax:216-636-1228
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-07-25
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Provider Licenses
StateLicense IDTaxonomies
133VN1006X
OH35088234207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2675743Medicaid
OH2675743Medicaid
OHI57412Medicare UPIN