Provider Demographics
NPI:1346537735
Name:STARAITIS, SUZANNE (DO)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:
Last Name:STARAITIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7225 OLD OAK BLVD
Mailing Address - Street 2:SUITE A210
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3339
Mailing Address - Country:US
Mailing Address - Phone:440-816-2761
Mailing Address - Fax:440-816-8065
Practice Address - Street 1:7225 OLD OAK BLVD
Practice Address - Street 2:SUITE A210
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3339
Practice Address - Country:US
Practice Address - Phone:440-816-2761
Practice Address - Fax:440-816-8065
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.011893207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine