Individual
TED SUGIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3950 HOLLYWOOD RD, SUITE 100, SAINT JOSEPH, MI 49085-9159
(269) 429-0900
(269) 408-0996
Mailing address
6416 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
(269) 471-7741
(269) 471-1581
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301041051
MI
208600000X
Surgery Physician
Primary
4301041051
MI
Other
Enumeration date
07/31/2006
Last updated
03/07/2023
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