Individual
THEODORE T SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 764-6831
(734) 647-8535
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35079592
OH
207R00000X
Internal Medicine Physician
4301104150
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301104150
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
43211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2467674
—
OH
Enumeration date
06/12/2006
Last updated
01/31/2014
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