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Contact Information

ADAM SUDBECK, PA-C
295 PHALEN BLVD
SAINT PAUL, MN55130-2400
 Phone: 651-495-6200
 Fax: 651-495-6201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ADAM SUDBECK · (Male)

NPI Number 1265859011
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/18/2014
Last updated 03/10/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MA License # PA4951
  • MN License # 12491
Hospital affiliation(s)
  • REGIONS HOSPITAL - (Acute Care)
    640 JACKSON STREET
    SAINT PAUL, MN 55101
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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