Individual
GEORGE TORAO SUGIYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4069 LAKE DR SE, SUITE 312, GRAND RAPIDS, MI 49546-8816
(616) 486-6790
(616) 486-6702
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301030053
MI
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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