Andrew James Van Sumeren, SOTM, WP-C, NRP
NPI #1043006703 in Stennis Space Center, Mississippi
Provider Information
- NPI Number
- 1043006703
- Entity Type
- Individual
- Name
- Andrew James Van Sumeren, SOTM, WP-C, NRP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider
- Credential
- SOTM, WP-C, NRP
- Enumeration Date
- Apr 17, 2025
- Last Updated
- Apr 17, 2025
Practice Location
- Address
- 2603 LOWER GAINSVILLE ROAD
- State
- Mississippi
- ZIP Code
- 39529-0001
- Phone
- (906) 440-8323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
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