Individual
MICHAEL ROBERT SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1633 N CAPITOL AVE, SUITE 640, INDIANAPOLIS, IN 46202-1261
(317) 962-8881
Mailing address
1633 N CAPITOL AVE, SUITE 640, INDIANAPOLIS, IN 46202-1261
(317) 962-8881
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01073199A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/08/2012
Last updated
07/21/2022
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