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Contact Information

ANDREW SUDBECK, BS, LADC
101 18TH AVENUE NORTH
PRINCETON, MN55371
 Phone: 763-389-5080
 Fax: 763-631-9117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ANDREW SUDBECK · (Male)

NPI Number 1164798948
Status Active
Credentials BS, LADC
Entity Individual
Enumeration date 03/27/2012
Last updated 03/27/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 302611
  • MN Other 302611 LADC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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