Individual
DR. JAY I SANDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT OF UROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-0805
(414) 805-0771
Mailing address
9200 W WISCONSIN AVE, DEPT OF UROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-0805
(414) 805-0771
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
45676
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005806261P
HUMANA
—
05
—
1063465797
—
WI
Enumeration date
05/17/2006
Last updated
09/10/2014
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