Provider Demographics
NPI:1033381231
Name:SUNDBY, DANA PAUL (PHARMD, DC)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:PAUL
Last Name:SUNDBY
Suffix:
Gender:M
Credentials:PHARMD, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:LAMOURE
Mailing Address - State:ND
Mailing Address - Zip Code:58458
Mailing Address - Country:US
Mailing Address - Phone:701-883-4353
Mailing Address - Fax:
Practice Address - Street 1:100 1ST AVE NW
Practice Address - Street 2:
Practice Address - City:LAMOURE
Practice Address - State:ND
Practice Address - Zip Code:58458-7311
Practice Address - Country:US
Practice Address - Phone:701-883-4353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND971111N00000X
AK1703183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No111N00000XChiropractic ProvidersChiropractor