Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DUSTIN R SULAK, D.O.
ActiveMR. DUSTIN R SULAK, D.O. is a Family Medicine healthcare provider located in MANCHESTER, Maine. NPI 1427212059 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MANCHESTER, ME
Registration Details
- NPI Number
- 1427212059
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2008 (18.085227198923 yrs)
- Last Updated
- Jun 19, 2019
- Licenses
-
T0861 (ME)DO2142 (ME)
Practice Information
- Address
-
964 WESTERN AVE.MANCHESTER, ME, 04351Browse ME providers · Browse ZIP 04351
- Phone
- 2075128633
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MANCHESTER, ME
| Name | Credential | NPI |
|---|---|---|
| LAURA P CARON | MD | 1528034303 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.