| Doctor Name: | BRUCE A SUCHLAND |
| NPI Number: | 1487913422 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CNP |
| License Number: | COA.13320-NP |
| Business Practice Address: | 1251 Lincoln Hwy Suite 1 Wapakoneta, OH - 458957356 |
| Business Phone Number: | 4197385151 |
| Business Fax Number: | 4199411092 |
| Mailing Address: | 121 W High St, 5th Floor LIMA |
| State: | OH |
| Postal Code: | 458014340 |
| Phone Number: | 4199984573 |
| Fax Number: | 4199984586 |
| NPI Enumeration Date: | 05/11/2012 |
| NPI Last Update Date: | 11/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.13320-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |