Individual
DR. MICHAEL J SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 650, CHICAGO, IL 60611-2929
(312) 695-4835
(312) 695-3644
Mailing address
676 N SAINT CLAIR ST STE 650, CHICAGO, IL 60611-2929
(312) 695-4835
(312) 695-3644
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35132228
OH
2086S0127X
Trauma Surgery Physician
Primary
036160346
IL
2086S0127X
Trauma Surgery Physician
35132228
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0245123
—
OH
Enumeration date
10/24/2005
Last updated
01/31/2023
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