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NPI Code Detail

MEDICARE: DR. CHRISTOPHER ANDREAS SUYKERBUYK DPM

MEDICARE: DR. CHRISTOPHER ANDREAS SUYKERBUYK DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist0728AZ

General Provider Information

NPI Number : 1215181532
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER ANDREAS SUYKERBUYK DPM
Provider Business Mailing Address
First Line : PO BOX 9058
Second Line :
City : MESA
State : AZ
Zip : 85214-9058
Country : US
Telephone Number : 480-633-7944
Fax Number : 480-633-0255
Provider Business Practice Location Address
First Line : 2919 S ELLSWORTH RD STE 124
Second Line :
City : MESA
State : AZ
Zip : 85212-2167
Country : US
Telephone Number : 480-633-7944
Fax Number : 480-633-0255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2008
Last Update Date : 10/18/2022

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