Individual
DR. JOSEPH SUDEKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
841 CHAPEL OAKS RD, FRONTENAC, MO 63131-2805
(314) 578-6660
Mailing address
841 CHAPEL OAKS RD, FRONTENAC, MO 63131-2805
(314) 578-6660
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
R5102
MO
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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