Kirk L Susott M.D.

NPI 1003818683 - Urology - 208800000X

NPI Details
NPI 1003818683
Gender Male
Enumeration Date 08/12/2005
Last Updated 12/03/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
325 E H ST
OSCAR G. JOHNSON VA MEDICAL CENTER
IRON MOUNTAIN MI, 49801-4760, US
Phone (906) 774-3300
Fax (906) 779-3124
Business Location
325 E H ST
OSCAR G. JOHNSON VA MEDICAL CENTER
IRON MOUNTAIN MI, 49801-4760, US
Phone (906) 774-3300
Fax (906) 779-3124
Toxanomy
Taxonomy Code 208800000X
License State Michigan
License Number 4301039087
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According to our database, Dr. Kirk L Susott M.D. NPI is 1003818683, taxonomy code is 208800000X and license number is 4301039087, license state is located at Michigan. Kirk L Susott M.D. physically located at 325 E H St, Iron Mountain MI, 49801-4760. NPI Number Kirk L Susott M.D. has the Individual type.

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1003818683 NPI number is provided on an as is basis without warranty of any kind. 1003818683 is maintained by the National Plan & Provider Enumeration System. The contents of Kirk L Susott M.D. are for informational purposes only.