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Individual
DR. SANDRA MICHELLE WANEK
Active
Individual
DR. SANDRA MICHELLE WANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD22684
OR
2086S0102X
Surgical Critical Care Physician
2011029493
MO
2086S0102X
Surgical Critical Care Physician
Primary
MD22684
OR
Other
Enumeration date
07/04/2006
Last updated
04/30/2025
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