DR. Katie Lynne Sutter, OD

NPI #1043651128 in Portage, Michigan

Provider Information

NPI Number: 1043651128
Entity Type: Individual
Name: DR. Katie Lynne Sutter, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist - Pediatrics
Credential: OD
Enumeration Date: Jul 17, 2013
Last Updated: Jul 17, 2013

Practice Location

Address: 6101 NEWPORT RD STE A
City: Portage
State: Michigan
ZIP Code: 49002-9237
Phone: (269) 382-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Pediatrics — Pediatrics	152WP0200X	Primary

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