Individual
DR. MICHAEL JAMES SUMNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(517) 862-9315
Mailing address
4325 TIMBER RIDGE TRL SW APT 6, WYOMING, MI 49519-4268
(517) 862-9315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101018712
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101018712
AOA LICENSE #
MI
Enumeration date
06/28/2010
Last updated
06/28/2010
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