person
Shanna D Suderman, PA
Medical Physician Assistant in Wichita, Kansas
NPI 1588704076

Shanna D Suderman is a Medical Physician Assistant based in Wichita, KS and is specialized in Medical. Shanna D Suderman practices in Wichita, KS and has the professional credentials of PA. The NPI Number for Shanna D Suderman is 1588704076 and holds a License No. 15-01124 (Kansas).

The current practice location address for Shanna D Suderman is 1861 N Rock Rd, Wichita, KS and can be reached out via phone at 316-612-1833 and via fax at 316-612-2420. You can also correspond with Shanna D Suderman through the mailing address at 1861 N ROCK RD, WICHITA, KS - 67206-4200 (mailing address contact number: 316-612-1833).

Location: 1861 N Rock Rd, Wichita, KS, 67206-4200
person
Provider Profile Details
NPI Number
1588704076
Provider Name
Shanna D Suderman
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1861 N Rock Rd, Wichita, KS, 67206-4200
Phone Number
316-612-1833
Fax Number
316-612-2420
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1861 N Rock Rd
City
State
Zip
67206-4200
Phone Number
316-612-1833
Fax Number
316-612-2420
person
Provider Business Mailing Address Details
Address
1861 N Rock Rd
City
State
Zip
67206-4200
Phone Number
316-612-1833
Fax Number
316-612-2420
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
15-01124 (Kansas)
Definition
Definition to come...
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