Individual
DR. BRENDA L SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 HIGHLAND RD, WATERFORD, MI 48328-1176
(248) 673-0500
(248) 673-6077
Mailing address
4800 HIGHLAND RD, WATERFORD, MI 48328-1176
(248) 673-0500
(248) 673-6077
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
BS044631
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F32915
BCBS DURABLE MEDICAL SUPPLIER PIN#
MI
01
—
0F37553
BLUE CROSS BLUE SHIELD MI
MI
05
—
1399040
—
MI
Enumeration date
01/11/2007
Last updated
08/26/2008
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