Individual
DR. PHILIP DEWAIN SUNDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1030 N 7TH ST, CHARITON, IA 50049-1206
(641) 217-9115
Mailing address
1030 N 7TH ST, PO BOX 674, CHARITON, IA 50049-1206
(641) 217-9115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26013
AL
207Q00000X
Family Medicine Physician
Primary
37367
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6400210
—
IA
01
—
70228
WELLMARK
IA
Enumeration date
05/22/2007
Last updated
10/21/2010
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