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Organization
MIDWEST SPECIAL SURGERY, P.C.
Active
Organization
MIDWEST SPECIAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY E SUDEKUM M.D. (PHYSICIAN)
(636) 730-3000
Entity
Organization
Contact information
Practice address
830 WATERBURY FALLS DR, O FALLON, MO 63368-2215
(636) 730-3000
Mailing address
830 WATERBURY FALLS DR, O FALLON, MO 63368-2215
(636) 730-3000
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
111635
MO
Other
Enumeration date
05/02/2007
Last updated
11/06/2007
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