Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | D0038446 | MD |
NPI | 1023015369 |
---|---|
Provider Name | Frederick Thomas Sutter |
First Address | Annapolis, MD 21401-7004 |
Second Address | Annapolis, MD 21401-7004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C34289 | (02) | MD |