Individual
DR. SCOTT MICHAEL SULENTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1180 COLLEGE DR STE 3-3, ROCK SPRINGS, WY 82901-5863
(307) 362-8211
(307) 382-3451
Mailing address
1180 COLLEGE DR STE 3-3, ROCK SPRINGS, WY 82901-5863
(307) 362-8211
(307) 382-3451
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
32976
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32976
STATE ID
CO
05
—
92873057
—
CO
Enumeration date
10/03/2006
Last updated
07/30/2026
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