DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARY SUSANNE PLACEK, M.D.

Active Sole Proprietor

DR. MARY SUSANNE PLACEK, M.D. is a Family Medicine healthcare provider located in INDEPENDENCE, Oregon. NPI 1265727515 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · INDEPENDENCE, OR

Registration Details

NPI Number
1265727515
Provider Type
Individual
Gender
Female
NPI Issued
Jun 15, 2011 (15.153982985925 yrs)
Last Updated
Sep 4, 2014
Licenses
MR-1208 (ID)
MD167924 (OR)
Sole Proprietor
Yes

Practice Information

Address
1430 MONMOUTH ST
INDEPENDENCE, OR, 973511127
Browse OR providers · Browse ZIP 97351
Phone
5038381133
Fax
5038385138
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in INDEPENDENCE, OR

Name Credential NPI
KEITH ALLEN WHITE MD 1407959422
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.