Individual
JOSHUA SUDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 EVERGREEN DR NE STE 100, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
Mailing address
710 KENMOOR AVE SE, SUITE 200, GRAND RAPIDS, MI 49546-2379
(616) 588-7246
(616) 588-7086
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301095046
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301094046
MI
208VP0014X
Interventional Pain Medicine Physician
4301094046
MI
Other
Enumeration date
06/09/2009
Last updated
08/12/2025
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