Individual
MR. MICHAEL LAURENCE SUMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802E JOHNSON AVE, JONESBORO, AR 72401-8413
(870) 936-8000
(870) 934-3665
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 934-3665
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E-2670
AR
208800000X
Urology Physician
E2670
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141365001
—
AR
Enumeration date
02/14/2007
Last updated
12/03/2015
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