Individual
DR. MICHAEL EARLE SUDDERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1008 BUCKEYE RD, FREDERICKSBURG, TX 78624-8280
(830) 990-8486
(830) 990-0326
Mailing address
1008 BUCKEYE RD, FREDERICKSBURG, TX 78624-8280
(830) 990-8486
(830) 990-0326
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D4323
TX
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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