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)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