Organization
JOHN M SUSHKO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL SUSHKO DDS (EXECUTIVE DIRECTOR)
(248) 644-5735
Entity
Organization
Contact information
Practice address
720 N OLD WOODWARD AVE, SUITE 201, BIRMINGHAM, MI 48009-1342
(248) 644-5735
(248) 644-6465
Mailing address
720 N OLD WOODWARD AVE, SUITE 201, BIRMINGHAM, MI 48009-1342
(248) 644-5735
(248) 644-6465
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1810857
MI
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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