Individual
SYLVIA R SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
1900 CENTRACARE CIRCLE, ST CLOUD, MN 56303
(320) 654-3630
(320) 654-3657
Mailing address
1900 CENTRACARE CIRCLE, ST CLOUD, MN 56303
(320) 654-3630
(320) 654-3657
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36933
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001397
PREFERRED ONE
—
01
—
110413
U CARE
—
01
—
1202207
MEDICA HEALTH PLANS
—
01
—
36933
MN LICENSE NUMBER
—
01
—
44132700
MEDICAL ASSISTANCE
—
01
—
51AA3SU
BLUE CROSS BLUE SHIELD
—
01
—
763002
ARAZ GROUP AMERICAS PPO
—
01
—
HP28348
HEALTH PARTNERS
—
Enumeration date
10/31/2005
Last updated
03/07/2023
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