Individual
ANDREW JAMES VAN SUMEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOTM, WP-C, NRP
Contact information
Practice address
2603 LOWER GAINSVILLE ROAD, STENNIS SPACE CENTER, MS 39529-0001
(906) 440-8323
Mailing address
353 STATE ST, BAY ST LOUIS, MS 39520-4433
(906) 440-8323
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
MS
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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