Individual
PAULO DETARSO SUGAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3456 W VERNOR HWY, DETROIT, MI 48216-1551
(313) 254-9693
Mailing address
3456 W VERNOR HWY, DETROIT, MI 48216-1551
(313) 254-9693
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704198974
MI
Other
Enumeration date
04/01/2018
Last updated
04/01/2018
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