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Individual
DR. SANDRA GAYLE MENDEL
Active
Individual
DR. SANDRA GAYLE MENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35053105M
OH
208000000X
Pediatrics Physician
35053105M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0638331
—
OH
01
—
35053105
OHIO LICENSE
OH
Enumeration date
09/04/2006
Last updated
06/11/2019
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