Individual
DR. MARK LEE SUNDERMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV IM MEDICAL ONCOLOGY, STE 7A, 7B, 7C, SAINT LOUIS, MO 63110-1032
(800) 647-2098
(314) 362-3192
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(800) 647-2098
(314) 362-3192
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2023036999
MO
207RX0202X
Medical Oncology Physician
Primary
2023036999
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200137630
—
MO
Enumeration date
05/25/2006
Last updated
04/17/2025
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