Individual
ANNA SUDBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LAFAYETTE AVE SE STE 4000, GRAND RAPIDS, MI 49503-4692
(616) 685-6922
Mailing address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-6922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351046054
MI
207Q00000X
Family Medicine Physician
MD61403865
WA
Other
Enumeration date
06/19/2020
Last updated
07/06/2023
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