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Individual

BRIAN SUTTERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
650 S MOUNT AUBURN RD STE 101, CAPE GIRARDEAU, MO 63703-4940
(573) 519-4960
(573) 519-4655
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084

Taxonomy

Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
64254
MN
208100000X
Physical Medicine & Rehabilitation Physician
64254
MN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
64254
MN

Other

Enumeration date
03/27/2017
Last updated
03/17/2026
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