Individual
MARK SUNDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
14044 W 113TH ST, OLATHE, KS 66215-4833
(913) 424-4608
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
04-43540
KS
2084P0800X
Psychiatry Physician
Primary
2020030908
MO
Other
Enumeration date
04/11/2016
Last updated
09/30/2022
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