Individual
DR. MICHELLE K SUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1102 HIGHWAY 315 BLVD, WILKES BARRE, PA 18702-6943
(570) 235-1470
(570) 550-9356
Mailing address
1102 HIGHWAY 315 BLVD, WILKES BARRE, PA 18702-6943
(570) 235-1470
(570) 550-9256
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS009616L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001677040
—
PA
Enumeration date
03/09/2006
Last updated
03/20/2018
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