Ann Marie Sundareson M.D.

NPI 1023003373 - Pediatrics - 208000000X

NPI Details
NPI 1023003373
Gender Female
Enumeration Date 09/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
6125 GREEN BAY RD
SUITE 700
KENOSHA WI, 53142-2928, US
Phone (262) 654-8633
Fax (262) 654-5467
Business Location
6125 GREEN BAY RD
SUITE 700
KENOSHA WI, 53142-2928, US
Phone (262) 654-8633
Fax (262) 654-5467
Toxanomy
Taxonomy Code 208000000X
License State Wisconsin
License Number 46090
Remove 1023003373 NPI Number
 

According to our database, Ann Marie Sundareson M.D. NPI is 1023003373, taxonomy code is 208000000X and license number is 46090, license state is located at Wisconsin. Ann Marie Sundareson M.D. physically located at 6125 Green Bay Rd, Kenosha WI, 53142-2928. NPI Number Ann Marie Sundareson M.D. has the Individual type.

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1023003373 NPI number is provided on an as is basis without warranty of any kind. 1023003373 is maintained by the National Plan & Provider Enumeration System. The contents of Ann Marie Sundareson M.D. are for informational purposes only.