Individual
JOHN R. SUCHOMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4717 ST. ANTOINE, DETROIT, MI 48201-1423
(313) 577-8900
(313) 577-0700
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(313) 577-8900
(313) 577-0700
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301406719
MI
Other
Enumeration date
12/06/2006
Last updated
11/12/2015
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