Individual
CHARLES WILLIAM SUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2261 DOUGLAS BLVD, ROSEVILLE, CA 95661-3831
(916) 783-7109
(916) 783-0801
Mailing address
2261 DOUGLAS BLVD, ROSEVILLE, CA 95661-3831
(916) 783-7109
(916) 783-0801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G37234
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G372340
—
CA
Enumeration date
11/22/2005
Last updated
11/30/2007
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