Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 69728 | MN |
Y | 208600000X | Surgeon | 69728 | MN |
N | 2086S0105X | Surgery of the Hand | MT220437 | PA |
NPI | 1013336155 |
---|---|
Provider Name | Thomas Mark Suszynski |
First Address | Minneapolis, MN 55455-4800 |
Second Address | Pittsburgh, PA 15261-7708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 12/07/2021 |