Male or Other

Dr. Kirk L. Susott M.D.

Urology Physician in Iron Mountain, MI(View on Map)

Full Name

Dr. Kirk L Susott M.D.

NPI Number

1003818683

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/12/2005

Specialties

(Taxonomies)

Code

208800000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

4301039087

Contact
Information

Purpose

Mailing
Location

Address

325 E H ST
325 E H ST

City

Iron Mountain
Iron Mountain

State

MI
MI

Postal Code

49801-4760
49801-4760

Country

US
US

Telephone Number

(906) 774-3300
(906) 774-3300

Identifiers

Identifier

4758301
4777174

Identifier State

MI
MI

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/03/2013

Provider Address

Other Urology Physician in Iron Mountain, Michigan:

Male or Other

Kevin Scott M.D.

Iron Mountain, MI

Specialties: Urology Physician (Primary)Specialist