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Individual

DR. MICHAEL JOHN SUTULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3001 SOUTH HANOVER STREET, BALTIMORE, MD 21225-2133
(410) 350-3362
(301) 604-7523
Mailing address
3001 SOUTH HANOVER STREET, BALTIMORE, MD 21225-2133

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D26762
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IG03
MEDICARE GROUP NUMBER
MD
Enumeration date
09/27/2006
Last updated
10/26/2007
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