Dr SUSAN D BANNING is a female medical professional, specializing in Nurse Practitioner. She graduated in 2011.
MEMORIAL PROFESSIONAL SERVICES LTD
715 S TAFT AVE
FREMONT
OH
434203237
Tel: 4193336462
| Npi | 1407126980 |
| Pac Id | 7012177389 |
| Professional Enrollment Id | I20120323000042 |
| Last Name | BANNING |
| First Name | SUSAN |
| Middle Name | D |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | MEMORIAL PROFESSIONAL SERVICES LTD |
| Group Practice Pac Id | 1456531870 |
| Number Of Group Practice Members | 45 |
| Line 1 Street Address | 715 S TAFT AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FREMONT |
| State | OH |
| Zip Code | 434203237 |
| Phone Number | 4193336462 |
| Hospital Affiliation Ccn 1 | 360156 |
| Hospital Affiliation Lbn 1 | MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 360068 |
| Hospital Affiliation Lbn 2 | PROMEDICA TOLEDO HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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