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Individual
SANDRA A MCCABE
Active
Individual
SANDRA A MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01070526A
IN
208800000X
Urology Physician
49159
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000749529
ANTHEM PIN
IN
05
—
201047370
—
IN
01
—
264430469
MEDICARE PTAN
IN
01
—
P01941209
RAILROAD PTAN
IN
Enumeration date
06/17/2006
Last updated
05/22/2024
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