Sutton, Dean M

Sutton, Dean M is an individual health care provider with primary practice located at 1818 N Meade St Ste 240- West, Appleton WI 54911-3454. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Sutton, Dean M can be contacted via phone (920) 731-8289.

Contact Information

Primary practice address
1818 N Meade St Ste 240- West Appleton WI 54911-3454
Phone: (920) 731-8289
Fax: (920) 832-0444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1802-033 Wisconsin

Profile Details

NPI number 1659363802
LBN Legal business name Sutton, Dean M
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659363802 NPPES
Wisconsin MEDICAID 43955500

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