Individual
SURESH K MUKHERJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 SERVICE RD, D100, EAST LANSING, MI 48824-7015
(517) 353-5053
(517) 432-4394
Mailing address
804 SERVICE RD, ROOM A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
4301077390
MI
2085R0202X
Diagnostic Radiology Physician
Primary
4301077390
MI
2085R0202X
Diagnostic Radiology Physician
M-2189
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326129453
—
MI
05
—
4284028
—
MI
Enumeration date
10/17/2006
Last updated
12/09/2019
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