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Individual
MICHAEL D SANDERS
Active
Individual
MICHAEL D SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17688
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000198573
UNISON
SC
01
—
0146487
CIGNA
SC
01
—
1548277627
BCBS
SC
01
—
20056902
FIRST CHOICE
SC
01
—
5878065
AETNA
SC
05
—
LL1674
—
SC
Enumeration date
07/24/2006
Last updated
07/11/2012
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