Individual
DR. JONATHAN M. SUDDARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 W HUTCHINGS ST, WINTERSET, IA 50273-2104
(515) 462-2373
(515) 462-5132
Mailing address
300 W HUTCHINGS ST, WINTERSET, IA 50273-2104
(515) 462-2373
(515) 462-5132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3346
IA
207Q00000X
Family Medicine Physician
Primary
3347
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01495
BCBS
IA
05
—
1241489
—
IA
Enumeration date
08/31/2006
Last updated
11/23/2025
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