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Individual

MICHAEL A SUMSION

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2801 PARK MARINA DR, REDDING, CA 96001-2822
(530) 244-2273
(530) 244-2708
Mailing address
2801 PARK MARINA DR, REDDING, CA 96001-2822
(530) 244-2273
(530) 244-2708

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G68804
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G68804
BLUE SHIELD
CA
01
CF129069
NATIONWIDE
Enumeration date
05/11/2006
Last updated
07/08/2007
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