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NPI Code Detail

MEDICARE: LYNETTE M SUTKOWI TOOMAJIAN DO

MEDICARE: LYNETTE M SUTKOWI TOOMAJIAN DO
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
1207RX0202XMedical Oncology Physician5101012826MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790774131
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNETTE M SUTKOWI TOOMAJIAN DO
Provider Business Mailing Address
First Line : 13355 E 10 MILE RD
Second Line : SUITE 110
City : WARREN
State : MI
Zip : 48089-2048
Country : US
Telephone Number : 586-756-7090
Fax Number : 586-756-7091
Provider Business Practice Location Address
First Line : 13355 E 10 MILE RD
Second Line : SUITE 110
City : WARREN
State : MI
Zip : 48089-2048
Country : US
Telephone Number : 586-756-7090
Fax Number : 586-756-7091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/18/2025

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