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Individual

DR. MICHAEL S. SUTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
2100 WEBSTER ST, SUITE 518, SAN FRANCISCO, CA 94115-2373
(415) 600-7840
(415) 600-7845
Mailing address
PO BOX 60000, FILE #74451, SAN FRANCISCO, CA 94160-0001
(415) 600-7840
(415) 600-7845

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G35951
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G359510
BLUE CROSS & BLUE SHIELD
CA
05
00G359510
CA
01
362152800
WORKERS COMP NUMBER
CA
Enumeration date
06/21/2006
Last updated
12/22/2009
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