| NPI | 1427591635 |
|---|---|
| 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 | 208800000X Urology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2025-10-13 |