Individual
DR. CHRISTIAN MICHAEL SUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 THE BOULEVARD SAINT LOUIS, RICHMOND HEIGHTS, MO 63117-1118
(314) 354-8810
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011020354
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881867497
—
MO
01
—
P01084952
RAILROAD MEDICARE
MO
Enumeration date
04/04/2008
Last updated
11/24/2020
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