# DANIEL D SUMROK, MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UT Med Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902966153
- **Authorized official:** DANIEL D SUMROK (MD)
- **Authorized official phone:** (731) 352-0603

## Contact information

- **Practice address:** 1894 CEDAR ST, MC KENZIE, TN 38201-2206
- **Practice address phone:** (731) 352-0603
- **Practice address fax:** (731) 352-0185
- **Mailing address:** 1894 CEDAR ST, MC KENZIE, TN 38201-2206
- **Mailing address phone:** (731) 352-0603
- **Mailing address fax:** (731) 352-0185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD21860 | TN | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 04/30/2015