Michael Wen Susman, M.D., Ph.D.
Pathology, Anatomic Pathology & Clinical Pathology in Knoxville, TN. Individual provider (NPI-1).
NPI number1043746076
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1043746076
- Entity type
- Individual (NPI-1)
- Name
- Michael Wen Susman
- Credential
- M.D., Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2017
- Certification date
- Mar 6, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 67167 | TN | Yes |
| 207ZH0000X | Pathology, Hematology | 67167 | TN |
Practice location
501 19th St Ste 301Knoxville, TN 37916-1839
Phone 865-522-7591
Mailing address
501 19th St Ste 301Knoxville, TN 37916-1839
Phone 865-522-7591
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