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Individual
DR. MICHAEL SUTPHIN
Active
Individual
DR. MICHAEL SUTPHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
166834-1205
UT
208800000X
Urology Physician
Primary
3547A
WY
208800000X
Urology Physician
G42452
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104849000
—
WY
01
—
1312335
UMWA
WY
01
—
2266
BCBS-WY
WY
01
—
340001047
UPREHA
WY
Enumeration date
09/22/2006
Last updated
11/19/2014
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