Individual
DR. LARRY VAUGHN SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
120 E ADRIAN ST, BOX D, BLISSFIELD, MI 49228-1254
(517) 486-3008
(517) 486-5669
Mailing address
301 E JEFFERSON ST, BLISSFIELD, MI 49228-1325
(517) 486-3492
(517) 486-5669
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
LS004601
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04128
PARAMOUNT
MA
01
—
769311
FIRST HEALTH
MI
Enumeration date
06/27/2005
Last updated
05/11/2011
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