Individual
DR. MICHAEL THOMAS SUNDERBRUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-1000
Mailing address
PO BOX 1245, BETTENDORF, IA 52722-0021
(563) 324-8160
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125061278
IL
Other
Enumeration date
06/30/2011
Last updated
05/13/2021
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