Rosanne L Sutter MD

NPI 1154422673 - Family Medicine - 207Q00000X

NPI Details
NPI 1154422673
Gender Female
Enumeration Date 09/26/2006
Last Updated 10/19/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
211 S 3RD ST
BELLEVILLE IL, 62220-1915, US
Phone (618) 234-2120
Fax
Business Location
PO BOX 8882
FORT WORTH TX, 76124-0882, US
Phone (817) 451-4208
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036-103098
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According to our database, Rosanne L Sutter MD NPI is 1154422673, taxonomy code is 207Q00000X and license number is 036-103098, license state is located at Illinois. Rosanne L Sutter MD physically located at 211 S 3rd St, Belleville IL, 62220-1915. NPI Number Rosanne L Sutter MD has the Individual type.

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1154422673 NPI number is provided on an as is basis without warranty of any kind. 1154422673 is maintained by the National Plan & Provider Enumeration System. The contents of Rosanne L Sutter MD are for informational purposes only.