Individual
JUSTIN SANDVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213
(414) 454-6707
(414) 454-6747
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
71670
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093295
—
WI
Enumeration date
05/22/2014
Last updated
08/28/2025
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