Individual
DR. LILIYA SHEVCHENKO SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5030 CASCADE RD SE, GRAND RAPIDS, MI 49546-3725
(616) 954-2020
(616) 949-0408
Mailing address
5030 CASCADE RD SE, GRAND RAPIDS, MI 49546-3725
(616) 954-2020
(616) 949-0408
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
5101017636
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
5101017636
MI
Other
Enumeration date
07/07/2008
Last updated
01/26/2021
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