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NPI Code Detail

MEDICARE: MICHAEL JASON SUTKER MD

MEDICARE: MICHAEL JASON SUTKER MD
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
1208600000XSurgery PhysicianP0304TX

General Provider Information

NPI Number : 1053572370
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JASON SUTKER MD
Provider Business Mailing Address
First Line : 7777 FOREST LN STE A331
Second Line :
City : DALLAS
State : TX
Zip : 75230-2538
Country : US
Telephone Number : 972-566-7860
Fax Number :
Provider Business Practice Location Address
First Line : 7777 FOREST LN STE A331
Second Line :
City : DALLAS
State : TX
Zip : 75230-2538
Country : US
Telephone Number : 972-566-7860
Fax Number : 972-566-6673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2008
Last Update Date : 09/17/2024

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Directions to “ MICHAEL JASON SUTKER MD” Practice Location

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