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Individual

DR. JON F SULESKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3512 PRIMROSE DR, ROCHESTER HILLS, MI 48307-5268
(248) 852-4030
Mailing address
6522 FAITH DR, CHEYENNE, WY 82009-2759
(248) 765-0529

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
12472A
WY
208800000X
Urology Physician
5101011241
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3108957-11
MI
Enumeration date
04/18/2006
Last updated
10/19/2023
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