Individual
DR. STEVEN A SANDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
54351-20
WI
2084P0800X
Psychiatry Physician
01065870A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01065870A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
05
—
100052364
—
WI
01
—
54351-20
DEPT. OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
09/04/2006
Last updated
04/25/2025
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