NPI 1043006703
Andrew James van Sumeren, SOTMWPCNRP
Practice location
- Address
- 2603 Lower Gainsville Road, Stennis Space Center, MS 39529-0001
- Phone
- (906) 440-8323
- Mailing address
- 353 State St, Bay St Louis, MS 39520-4433
Registered specialties
Military Health Care Provider
Primary
Registry record
- NPI
- 1043006703
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Apr 2025
- Record last updated
- 17 Apr 2025
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.