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Individual
DR. MARK JOSEPH SUTHERLAND
Active
Individual
DR. MARK JOSEPH SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2006-00273
NC
207L00000X
Anesthesiology Physician
Primary
92198
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054049
MEDICARE ID
NC
01
—
2054049C
MEDICARE PTAN
NC
01
—
2054049E
MEDICARE PTAN
NC
05
—
5903826
—
NC
01
—
P00843366
MEDICARE RAILROAD
NC
Enumeration date
10/28/2005
Last updated
08/23/2024
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