Individual
ANGELA C SUKSTORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 E 23RD ST, FREMONT, NE 68025-2303
(402) 941-1359
Mailing address
2540 N HEALTHY WAY, FREMONT, NE 68025-2315
(402) 727-1091
(402) 727-7628
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
22674
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47071720712
—
NE
Enumeration date
05/22/2006
Last updated
03/17/2018
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