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Individual
SCOTT A SUNDBY
Active
Individual
SCOTT A SUNDBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
46118
MN
207Q00000X
Family Medicine Physician
Primary
46118
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0118131
MEDICA
MN
01
—
1040951
PREFERRED ONE
MN
01
—
132077D277
UCARE
MN
01
—
2152665
AMERICA'S PPO
MN
01
—
462T5SU
BLUE SHIELD
MN
05
—
580602000
—
MN
01
—
A023
CHAMPUS
MN
01
—
HP42878
HEALTH PARTNERS
MN
Enumeration date
01/26/2006
Last updated
01/17/2014
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