Organization
KIZHAKEPAT SUKUMARAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIZHAKEPAT SUKUMARAN M.D. (AUTHORIZED OFFICIAL)
(989) 776-8033
Entity
Organization
Contact information
Practice address
3824 CHIPPING NORTON CT, SAGINAW, MI 48603-9303
(989) 776-8033
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/19/2006
Last updated
09/19/2007
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