Provider Demographics
NPI:1578787180
Name:STRAGAND, SUZANNE M (DO)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:M
Last Name:STRAGAND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1136 THORN RUN RD
Mailing Address - Street 2:L
Mailing Address - City:MOON TWP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-4301
Mailing Address - Country:US
Mailing Address - Phone:412-262-1160
Mailing Address - Fax:
Practice Address - Street 1:1136 THORN RUN RD
Practice Address - Street 2:L
Practice Address - City:MOON TWP
Practice Address - State:PA
Practice Address - Zip Code:15108-4301
Practice Address - Country:US
Practice Address - Phone:412-262-1160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT011691207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine