Search › Idaho › 225100000X
Michael Sunderland
NPI 1699405472 · on the registry since 2022
Practice
- Address
- 1024 8th St
Rupert, ID 83350 - Phone
- (208) 654-1444
- Fax
- (208) 643-4168
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho