Individual
SHANNON MCKERNAN SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 WESTERN BLVD STE 102, GLASTONBURY, CT 06033
(860) 547-0306
(860) 525-9782
Mailing address
330 WESTERN BLVD STE 102, GLASTONBURY, CT 06033-4383
(860) 547-0306
(860) 525-9782
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
61130
CT
Other
Enumeration date
05/13/2014
Last updated
06/07/2018
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