MEDICARE: MICHAEL D SUTER MD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D0044604	MD

General Provider Information

NPI Number	:	1043492556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL D SUTER MD LLC

Provider Business Mailing Address
First Line	:	8109 HARFORD RD
Second Line	:	SUITE E
City	:	PARKVILLE
State	:	MD
Zip	:	21234-9205
Country	:	US
Telephone Number	:	410-665-4403
Fax Number	:	410-661-5087

Provider Business Practice Location Address
First Line	:	8109 HARFORD RD
Second Line	:	SUITE E
City	:	PARKVILLE
State	:	MD
Zip	:	21234-9205
Country	:	US
Telephone Number	:	410-665-4403
Fax Number	:	410-661-5087

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MICHAEL DAVID SUTER
Credential	:	MD
Telephone Number	:	410-665-4403

Provider Enumeration Date	:	11/27/2007
Last Update Date	:	11/27/2007

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