Shanna D Suderman is a Medical in Wichita, Kansas. Shanna D Suderman practices all healthcare services and medical treatments related to Medical. The NPI Number for Shanna D Suderman is 1588704076. The last update date is 2010-04-21.
Shanna D Suderman's current location address is 1861 N Rock Rd, Wichita, Kansas. You can contact this provider via phone number 3166121833 and fax number 3166122420. The mailing address for Shanna D Suderman is 1861 N Rock Rd, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanna D Suderman |
|---|---|
| Address | 1861 N Rock Rd, Wichita, Kansas |
| Phone Number | 3166121833 |
| Fax Number | 3166122420 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1588704076 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2010-04-21 |
Provider Mailing Address Detail
| Address | 1861 N Rock Rd |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672064200 |
| Phone Number | 3166121833 |
| Fax Number | 3166122420 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 15-01124 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code assigned to Shanna D Suderman by the Centers for Medicare & Medicaid Services?
The Shanna D Suderman has been issued the NPI (National Provider Identifier) 1588704076 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Shanna D Suderman?
The Shanna D Suderman is situated at 1861 N Rock Rd, in the city of Wichita, state of KS, with the zip code 672064200.
What is Shanna D Suderman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shanna D Suderman's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588704076 to Shanna D Suderman?
The Centers for Medicare & Medicaid Services originally issued the 1588704076 to Shanna D Suderman on 2007-02-07.
When was the information regarding Shanna D Suderman most recently updated?
The details pertaining to the Shanna D Suderman, including its address, specialty, and other relevant information, were last refreshed on 2010-04-21.
NPI Number: 1942207287
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