KRISTOFFER BRADLEY SUGG


Address: 2305 Genoa Business Park Dr Ste 120, Brighton, MI 48114-7004
Phone: 8104946881

KRISTOFFER BRADLEY SUGG (NPI# 1104029693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104029693
Entity Type Individual
Full Name KRISTOFFER BRADLEY SUGG
Credential M.D.
Practice Address 2305 Genoa Business Park Dr Ste 120
Brighton
MI 48114-7004
Mailing Address 24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor
MI 48105-9484
Practice Telephone 8104946881
Practice Fax Number 8104946882
Mailing Telephone 7347476766
Mailing Fax Number 7342223100
Enumeration Date 2007-06-11
Last Update Date 2020-03-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
4301090323 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 2305 GENOA BUSINESS PARK DR STE 120
City BRIGHTON
State MI
Zip Code 48114-7004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780620039 Mark A. Jonker Surgery 2305 Genoa Business Park Dr Ste 120, Brighton, MI 48114 2006-06-22
1326679879 Iha Health Service Corporation Surgery 2305 Genoa Business Park Dr Ste 120, Brighton, MI 48114-7004 2020-02-03
1245377837 John Kenneth Anderson Orthopaedic Surgery 2305 Genoa Business Park Dr Ste 120, Brighton, MI 48114-7004 2007-01-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386114866 Key Development Center, Inc. Counselor 2060 Grand River Annex Suite 600, Brighton, MI 48114 2018-11-28
1205326873 Montana Neurology Pllc Psychiatry & Neurology 2040 Grand River Anx Ste 200, Brighton, MI 48114 2018-05-18
1205370855 Samantha Hawley Contractor 73 Perch Street, Brighton, MI 48114 2016-12-15
1164883633 Kathryn Degrande Lankton Family Medicine 7575 Grand River Ste 210, Brighton, MI 48114 2016-03-11
1992110241 Bryant Castelein Podiatrist 7990 Grand River Rd Ste D, Brighton, MI 48114 2014-06-25
1033544945 Maria Kottke Nurse Practitioner 3222 Eden Trl, Brighton, MI 48114 2013-09-10
1720380462 Kami Erin Bartholomew Physical Therapy Assistant 744 Grand River, Brighton, MI 48114 2010-12-01
1467779223 Amy Hund Psychologist 10031 Spencer Rd, Brighton, MI 48114 2010-05-03
1851529978 Mark Brian Mcintee Physician Assistant 7575 W. Grand River, Brighton, MI 48114 2009-06-26
1982865432 Disha Kinra Dentist 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 2008-06-18
Find all providers in zip 48114

Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326679879 Iha Health Service Corporation Surgery 2305 Genoa Business Park Dr Ste 120, Brighton, MI 48114-7004 2020-02-03
1346686722 Daniel Adam Lyons Surgery 2305 Genoa Business Park Dr Ste 200, Brighton, MI 48114-7005 2013-05-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629528765 Paragon Health, P.C. Surgery 8175 Creekside Dr Ste 100, Portage, MI 49024-5370 2016-10-13
1487091989 Trevor K O'brien Surgery 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684-6721 2013-05-24
1851689525 Robert Moore Oneal Surgery 501 Onondaga St, Ann Arbor, MI 48104-2606 2011-07-15
1902072952 Michigan Cosmetic & Reconstructive Surgery Pllc Surgery 29110 Inkster Rd, Ste 250, Southfield, MI 48034-1098 2008-04-30
1518184175 Halil Ibrahim Canter Surgery 16001 West 9 Mile Rd., 3 Fl Fischer Ctr Providence Hosp. Craniofacial Inst., Southfield, MI 48075 2007-04-18
1285756148 Andrea Emma Van Pelt Surgery 4070 Lake Drive Se, Suite 202, Grand Rapids, MI 49546 2007-04-04
1083741367 Kenneth Wolf Surgery 1990 Union Lake Rd Ste 200, Commerce Township, MI 48382-2200 2007-02-27
1972630259 Lauran Bryan Surgery 26711 Woodward Ave Ste Ll1, Huntington Woods, MI 48070-1370 2007-02-27
1689761439 John J Iacobucci Surgery 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 2006-10-05
1710996319 Ewa D Komorowska-timek Surgery 3855 Burton St Se Ste A, Grand Rapids, MI 49546-5816 2006-08-05
Find all providers with the same taxonomy

Competitor

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City BRIGHTON
Zip Code 48114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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