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Individual

DR. ROBERT SUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
421 W 1ST ST, BLOOMINGTON, IN 47403-2403
(812) 332-3531
(812) 332-4673
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01073690A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201248560
IN
Enumeration date
07/24/2008
Last updated
02/24/2016
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