Individual
DR. ALAYNE K SUNDSTROM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 494-1700
(765) 496-1227
Mailing address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 494-1700
(765) 496-1227
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
02002982A
IN
208D00000X
General Practice Physician
34-00-7104-S
OH
208D00000X
General Practice Physician
Primary
99017807A
IN
Other
Enumeration date
10/05/2005
Last updated
07/08/2007
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