Individual
MICHAEL W SUTKAMP
Active
Individual
MICHAEL W SUTKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30310
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350550
ANTHEM - NMA
KY
01
—
000052155E
HUMANA / NMA
—
01
—
009110
SIHO - NMA
KY
01
—
1063095
PASSPORT - NMA
KY
01
—
1193585
CHA / NMA
—
01
—
2434332000
PASSPORT ADVANTAGE - NMA
KY
01
—
2540713001
CIGNA / NMA
—
05
—
64303100
—
KY
01
—
P00176908
RAILROAD MEDICARE
KY
Enumeration date
04/17/2006
Last updated
01/26/2015
Update your record
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