Dr. Susanna B Mierau, MD, DPhil
Psychiatry & Neurology, Neurology in Boston, MA. Individual provider (NPI-1).
NPI number1982809463
StatusActive
Last updated in NPPESFeb 2, 2021
Details
- NPI
- 1982809463
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susanna B Mierau
- Credential
- MD, DPhil
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2007
- Certification date
- Feb 2, 2021
- Last updated
- Feb 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 247778 | MA | Yes |
| 207R00000X | Internal Medicine | 046779 | KS |
Practice location
60 Fenwood RdBoston, MA 02115-6128
Phone 617-732-8060
Mailing address
1 Maguire RoadMgh Lurie Center For Autism
Lexington, MA 02421
Other practice locations
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