Doctor Name: | DR. HUBERT WESLEY SUNDERMAN |
NPI Number: | 1457571291 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 02000561 |
Business Practice Address: | 1001e Boulevard Daimlerchrysler Kokomo Casting Plant Kokomo, IN - 46904 |
Business Phone Number: | 7654541575 |
Business Fax Number: | 7654541973 |
Mailing Address: | 7290 Steinmeier Dr, INDIANAPOLIS |
State: | IN |
Postal Code: | 462502565 |
Phone Number: | 3178420683 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 02000561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |