Individual
DR. STEPHEN BRUCE SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 602-3262
(651) 312-3188
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
(651) 602-6885
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25520
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200002897
MEDICARE UPIN
MN
05
—
253772900
—
MN
Enumeration date
06/22/2006
Last updated
03/08/2019
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