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Individual
MIGUEL A. SUTTER
Active
Individual
MIGUEL A. SUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
'PA14764
—
CA
01
—
1039095
NCCPA
—
Enumeration date
06/07/2006
Last updated
04/04/2022
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