Organization
ACTIVE THERAPEUTICS INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SUDIT DDS (PRESIDENT)
(952) 545-2225
Entity
Organization
Contact information
Practice address
10500 WAYZATA BLVD, MINNETONKA, MN 55305-1511
(952) 545-2225
Mailing address
10500 WAYZATA BLVD, MINNETONKA, MN 55305-1511
(952) 545-2225
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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