Ian Sutherland

NPI #1083200166 in Walpole, Massachusetts

Provider Information

NPI Number: 1083200166
Entity Type: Individual
Name: Ian Sutherland
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 14, 2020
Last Updated: Dec 14, 2020

Practice Location

Address: 397 LINCOLN RD
City: Walpole
State: Massachusetts
ZIP Code: 02081-1218
Phone: (508) 688-7703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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