Dr Raymond Joseph Suppan Iii, MD is a
Student In An Organized Health Care Education/training Program physician based in Toledo, Ohio. Dr Raymond Joseph Suppan Iii is licensed to practice in * (Not Available) (license number ) and his current practice location is 2213 Cherry St, Toledo, Ohio. He can be reached at his office (for appointments etc.) via phone at
(330) 988-5102.
NPI number for Dr Raymond Joseph Suppan Iii is 1275283608 and his current mailing address is 730 Riverside Dr Apt 118, Toledo, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275283608.
Physician's Profile
| Full Name | Dr Raymond Joseph Suppan Iii |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2213 Cherry St, Toledo, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275283608
- Provider Enumeration Date: 03/28/2022
- Last Update Date: 07/23/2024
Medical Identifiers
Medical identifiers for Dr Raymond Joseph Suppan Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275283608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 5315251623 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Raymond Joseph Suppan Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Raymond Joseph Suppan Iii, MD
730 Riverside Dr Apt 118,
Toledo, OH 43605-5609
Ph: (330) 988-5102 | Dr Raymond Joseph Suppan Iii, MD
2213 Cherry St,
Toledo, OH 43608-2603
Ph: (330) 988-5102 |
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