Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 8171 | AZ |
NPI | 1700835063 |
---|---|
Provider Name | Dr. Michel A Sucher |
First Address | Scottsdale, AZ 85252-2243 |
Second Address | Scottsdale, AZ 85251-6649 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A89439 | (02) | AZ |