Peter Michael Sundwall
Family Doctor
10290 N. North County Blvd. Ste 200
Highland
, Utah 84003-8400
Peter Michael Sundwall
Family Doctor
10290 N. North County Blvd. Ste 200
Highland
, Utah 84003-8400
(208) 625-6001
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Peter Michael Sundwall
- 1919 Lincoln Way Ste 315
- Coeur D Alene, ID
- Zip : 83814-2527
- Fax : (208) 625-6001
- Phone : (208) 625-6000
Second Address
- Peter Michael Sundwall
- 10290 N. North County Blvd. Ste 200
- Highland, UT
- Zip : 84003-8400
- Fax : (208) 625-6001
- Phone : (208) 625-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 12158239-1205 | UT |
National Provider Identifier
| NPI | 1003306473 |
|---|---|
| Provider Name | Peter Michael Sundwall |
| First Address | Coeur D Alene, ID 83814-2527 |
| Second Address | Highland, UT 84003-8400 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2018 |
| Last Update Date | 03/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.