John M Sushko, DDS Valid NPI
Individual provider · General Practice Dentistry · Birmingham, MI
- NPI
- 1194951699
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 0103010 (MI)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2009-06-10
- Last updated
- 2009-06-10
Practice location
720 N Old Woodward Ave Ste 201
Birmingham, MI 48009-1342
(248) 644-5735