Individual
DR. MARK GERARD SUCHER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
845 N NEW BALLAS CT STE 200, SAINT LOUIS, MO 63141-7169
(314) 983-4700
(314) 692-9862
Mailing address
12639 OLD TESSON RD STE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2016009814
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023417
BLUE CROSS BLUE SHIELD
MO
Enumeration date
06/22/2010
Last updated
12/17/2021
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