# MIDWEST SPECIAL SURGERY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447472519
- **Authorized official:** DR. TONY E SUDEKUM M.D. (PHYSICIAN)
- **Authorized official phone:** (636) 730-3000

## Contact information

- **Practice address:** 830 WATERBURY FALLS DR, O FALLON, MO 63368-2215
- **Practice address phone:** (636) 730-3000
- **Mailing address:** 830 WATERBURY FALLS DR, O FALLON, MO 63368-2215
- **Mailing address phone:** (636) 730-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | 111635 | MO | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 11/06/2007