Kenneth Roger Susman, MD
Kenneth Roger Susman, MD is a General Surgery in Fort Bragg, California. Graduated from University of California, Davis School of Medicine in 1988, 38 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 38
- Trained at
- University of California, Davis School of Medicine
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
510 Cypress St Ste BFort Bragg, CA 95437-5411
Phone: (707) 961-1972
Fax: (707) 961-1978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence G679520 (CA) |
|---|
Record details
| NPI number | 1962551119 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | January 9, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 510 Cypress St, Suite B, Fort Bragg, CA 95437-5411 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduated | 1988 (38 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Fort Bragg
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Dr. Kate Teresa Donohue, PHD
19201 Noyo Acres Dr, Fort Bragg, CA 95437 · (415) 695-1464
-
Charles C Jenkins, MD
700 River Dr, Fort Bragg, CA 95437-5403 · (707) 961-1234
-
Dr. Robert W Ryder, MD
205 S St, Fort Bragg, CA 95437-5540 · (707) 964-1251