Most Relevant Information
Provider Data
| NPI Number: | 1003818683 |
| Provider Name: | KIRK L SUSOTT M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208800000X |
| Specialty: | Urology |
| License Number: | 4301039087 |
Most Important Dates
| Enumeration Date: | 08/12/2005 |
| Last Updated: | 12/03/2013 |
Provider Practice Location
325 E H ST
OSCAR G. JOHNSON VA MEDICAL CENTER
IRON MOUNTAIN
MI
498014760
Practice Location Phone/Fax
| Phone: | 9067743300 |
| Fax: | 9067793124 |
Provider Mailing Location
325 E H ST
OSCAR G. JOHNSON VA MEDICAL CENTER
IRON MOUNTAIN
MI
498014760
Provider Mailing Phone/Fax
| Phone: | 9067743300 |
| Fax: | 9067793124 |
Suggested EMR
Urologist EMR