Individual provider · Type 1 NPI

Kyle Austin Sugg, DO

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1528640778 Active

Practice location

4201 Saint Antoine St Ste 2E
Detroit, MI 48201-2153

Mailing address

4100 John R St
Detroit, MI 48201-2013

Other practice locations

  • 4100 John R St, Detroit, MI 48201-2013 · (313) 803-4598

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Internal Medicine Physician 207R00000X5101028819 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1528640778

Kyle Austin Sugg, DO's National Provider Identifier is 1528640778, issued on Apr 27, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Aug 27, 2026.