person
Richard W Suttle, PA
Medical Physician Assistant in Birmingham, Michigan
NPI 1083726681

Richard W Suttle is a Medical Physician Assistant based in Canton, MI and is specialized in Medical. Richard W Suttle practices in Birmingham, MI and has the professional credentials of PA. The NPI Number for Richard W Suttle is 1083726681 and holds a License No. 5601001147 (Michigan).

The current practice location address for Richard W Suttle is 725 S Adams Rd, Birmingham, MI and can be reached out via phone at 248-220-1148 and via fax at 248-220-1151.

Location: 725 S Adams Rd, Birmingham, MI, 48187-2238
person
Provider Profile Details
NPI Number
1083726681
Provider Name
Richard W Suttle
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
725 S Adams Rd, Birmingham, MI, 48187-2238
Phone Number
248-220-1148
Fax Number
248-220-1151
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5601001147 01 MI P.A.. LICENSE
700H231390 01 MI BCBS GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
725 S Adams Rd
City
State
Zip
48009-6902
Phone Number
248-220-1148
Fax Number
248-220-1151
person
Provider Business Mailing Address Details
Address
725 S Adams Rd
City
State
Zip
48009-6902
Phone Number
248-220-1148
Fax Number
248-220-1151
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601001147 (Michigan)
Definition
Definition to come...
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