Individual
DENNIS SUICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 E BROADWAY, SUITE 200, COLUMBIA, MO 65201-8023
(573) 815-7119
(573) 815-7116
Mailing address
670 MASON RIDGE CENTER DR, SUITE 300, SAINT LOUIS, MO 63141-8573
(314) 996-7644
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
101237
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203369905
—
MO
Enumeration date
08/16/2006
Last updated
10/27/2010
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