Individual
ADAM SUDBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
295 PHALEN BLVD, SAINT PAUL, MN 55130-2400
(651) 495-6200
(651) 495-6201
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 495-6200
(651) 495-6201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12491
MN
363AS0400X
Surgical Physician Assistant
PA4951
MA
Other
Enumeration date
03/18/2014
Last updated
03/10/2020
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