Provider Demographics
NPI:1407848385
Name:CLAY-HUFFORD, SUSAN D (MD)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:D
Last Name:CLAY-HUFFORD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3922 WOODLEY RD
Mailing Address - Street 2:STE 100
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1130
Mailing Address - Country:US
Mailing Address - Phone:419-291-2121
Mailing Address - Fax:419-479-6017
Practice Address - Street 1:3922 WOODLEY RD
Practice Address - Street 2:STE 100
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1130
Practice Address - Country:US
Practice Address - Phone:419-291-2121
Practice Address - Fax:419-479-6017
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2023-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35057562208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000141199OtherANTHEM
MI3505802281OtherBCBS MI
OH12-01298OtherUHC
OH370012697OtherRRMC
MI000000221694OtherANTHEM
OH00424OtherPHC
OH0634103OtherAETNA
MI17290OtherHPM
MI472341OtherAETNA
OH0721339Medicaid
MI12-03669OtherUHC
MI3505802281OtherBCBS MI