Individual
RICHARD D SUDMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 10TH ST, WORTHINGTON, MN 56187-2343
(507) 372-2921
(507) 372-1815
Mailing address
508 10TH ST, WORTHINGTON, MN 56187-2343
(507) 372-2921
(507) 372-1815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22262
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00738SU
BCBS MPIN
MN
01
—
109796
UCARE
FM
01
—
110164496
RR MEDICARE
MN
05
—
1958918
—
IA
05
—
343388900
—
MN
Enumeration date
09/14/2006
Last updated
03/29/2011
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