NPI 1013917855

Johan Suyderhoud

Practitioner Anesthesiology Physician Winston Salem, NC

Practice location

Address: Medical Center Blvd, Winston Salem, NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-3202

Registered specialties (3)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 2021-02174 (NC)

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Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 2015019918 (MO)

Registry record

NPI: 1013917855
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2005
Record last updated: 29 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.