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Individual

MICHAEL A. SUGARMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 752-5111
Mailing address
PO BOX 24823, SEATTLE, WA 98124-0823
(425) 407-1500
(425) 407-1112

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9642
MT
207LP2900X
Pain Medicine (Anesthesiology) Physician
9642
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0043554
MT
05
807035700
ID
05
8409369
WA
Enumeration date
07/14/2006
Last updated
05/13/2011
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