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Jonathan J. Sudberry, MD
Diagnostic Radiology Physician in St Louis Park, Minnesota
NPI 1700865193

Jonathan J. Sudberry is a Diagnostic Radiology Physician based in St Louis Park, MN and is specialized in Diagnostic Radiology. Jonathan J. Sudberry practices in St Louis Park, MN and has the professional credentials of MD. The NPI Number for Jonathan J. Sudberry is 1700865193 and holds a License No. 48060 (Minnesota).

The current practice location address for Jonathan J. Sudberry is 6500 Excelsior Blvd, St Louis Park, MN and can be reached out via phone at 952-993-0349.

Location: 6500 Excelsior Blvd, St Louis Park, MN, 55426-4702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700865193
Provider Name
Jonathan J. Sudberry
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6500 Excelsior Blvd, St Louis Park, MN, 55426-4702
Phone Number
952-993-0349
Fax Number
Provider Enumeration Date
01/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
852658300 05 MN
institution
Provider Business Practice Location Address Details
Address
6500 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
952-993-0349
Fax Number
person
Provider Business Mailing Address Details
Address
6500 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
952-993-0349
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
48060 (Minnesota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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