Individual
MICHAEL ROBERT SUNDERMAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 962-3340
(252) 962-3320
Mailing address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 962-3340
(252) 962-3320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24534
NC
207Q00000X
Family Medicine Physician
24534
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8980996
—
NC
Enumeration date
03/23/2006
Last updated
12/04/2013
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