Individual
MICHAEL J SUTTON
Active
Individual
MICHAEL J SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
457
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MS007501
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004578
—
SC
01
—
062
BLUECHOICE
SC
01
—
064
BCBS
SC
01
—
207327
MEDCOST
SC
01
—
4066223
AETNA
SC
05
—
5909178
—
NC
Enumeration date
09/01/2006
Last updated
10/24/2011
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