Individual
DR. ROBERT E SONNEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-6850
(417) 820-6868
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
112077
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132094001
—
AR
01
—
173098
MO BLUE SHIELD
MO
05
—
208723304
—
MO
01
—
81454
ARK BLUE SHIELD
AR
Enumeration date
02/06/2007
Last updated
05/15/2013
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