Individual
MARK ANDREW SUTKOWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6065 GULL RD, WALMART VISION CENTER #5064, KALAMAZOO, MI 49048
(269) 373-0268
(269) 373-0387
Mailing address
4450 LANDINGWAY, KALAMAZOO, MI 49048
(269) 343-8232
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MI4901002930
MI
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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