Most Relevant Information
Provider Data
| NPI Number: | 1003219544 |
| Provider Name: | BRETT M SULONEN ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT.003980 |
Most Important Dates
| Enumeration Date: | 09/29/2014 |
| Last Updated: | 09/29/2014 |
Provider Practice Location
730 DIAMOND VIEW DR
DELAWARE
OH
430151596
Practice Location Phone/Fax
| Phone: | 3309800936 |
| Fax: |
Provider Mailing Location
730 DIAMOND VIEW DR
DELAWARE
OH
430151596
Provider Mailing Phone/Fax
| Phone: | 3309800936 |
| Fax: |