NPI | 1528328911 |
---|---|
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 | 207QS0010X Family Medicine, Sports Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
207Q00000X Family Medicine | |
Enumeration Date | 2012-05-21 |
Last Update Date | 2025-10-09 |