Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 16394 | ND |
N | 207P00000X | Emergency Physician | 4301112415 | MI |
NPI | 1003345323 |
---|---|
Provider Name | Steven Sonnamaker |
First Address | Bismarck, ND 58501-4520 |
Second Address | Bismarck, ND 58501-4520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2017 |
Last Update Date | 29/06/2020 |