Individual
SCOTT A SUNDBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1527 BROADWAY ST, ALEXANDRIA, MN 56308-2537
(320) 762-6841
(320) 762-6847
Mailing address
1527 BROADWAY ST, ALEXANDRIA, MN 56308-2537
(320) 762-6841
(320) 762-6847
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
46118
MN
207Q00000X
Family Medicine Physician
Primary
46118
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0118131
MEDICA
MN
01
—
1040951
PREFERRED ONE
MN
01
—
132077D277
UCARE
MN
01
—
2152665
AMERICA'S PPO
MN
01
—
462T5SU
BLUE SHIELD
MN
05
—
580602000
—
MN
01
—
A023
CHAMPUS
MN
01
—
HP42878
HEALTH PARTNERS
MN
Enumeration date
01/26/2006
Last updated
01/17/2014
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