Individual
ALAN B SUNDHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5700 MONROE ST UNIT 207, SYLVANIA, OH 43560-2735
(419) 843-8150
(419) 479-2579
Mailing address
5700 MONROE ST UNIT 207, SYLVANIA, OH 43560-2735
(419) 843-8150
(419) 479-2579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35040004
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141271
ANTHEM
OH
05
—
0101357
—
OH
01
—
02039
PARAMOUNT
OH
01
—
04-03323
UHC
OH
01
—
0637700
AETNA
OH
01
—
110176017
RRMC
OH
Enumeration date
07/22/2005
Last updated
07/21/2022
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