Individual
DR. JOHN M SUSHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
720 N OLD WOODWARD AVE STE 201, BIRMINGHAM, MI 48009-1342
(248) 644-5735
Mailing address
720 N OLD WOODWARD AVE STE 201, BIRMINGHAM, MI 48009-1342
(248) 644-5735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0103010
MI
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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