NPI | 1316100142 |
---|---|
Doing Business As | SUMMA HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | WENDY CARSON Manager, Payer Enrollment 234-312-5691 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
208200000X Plastic Surgery | |
208VP0000X Pain Medicine, Pain Medicine | |
363A00000X Physician Assistant | |
Enumeration Date | 2008-07-02 |
Last Update Date | 2025-01-22 |