Individual
JONATHAN A SUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
339 E LIBERTY ST, SUITE 330, ANN ARBOR, MI 48104-2276
(734) 741-0040
(734) 274-6041
Mailing address
339 E LIBERTY ST, SUITE 330, ANN ARBOR, MI 48104-2276
(734) 741-0040
(734) 274-6041
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301405100
MI
2084P0804X
Child & Adolescent Psychiatry Physician
4301405100
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B76849
BCBS/MEDICARE UPIN
MI
Enumeration date
01/07/2009
Last updated
06/06/2012
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