Individual
TODD A. SANDROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
861 HEALTH PARK BLVD, GRAND BLANC, MI 48439
(810) 953-0500
(810) 953-0031
Mailing address
861 HEALTH PARK BLVD, SUITE 101, GRAND BLANC, MI 48439-7383
(810) 232-6190
(810) 232-9348
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
TS012492
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0990587
HEALTHPLUS OF MICHIGAN
MI
01
—
131822
CARE CHOICES
MI
01
—
20-5250218-5
BLUE CROSS OF MICHIGAN
MI
01
—
383602347
CHAMPUS/TRICARE
MI
05
—
4304480
—
MI
01
—
4577138
AETNA
MI
01
—
930116191
MEDICARE RAILROAD
MI
01
—
C7778
MCARE
MI
01
—
F45154
HEALTH ALLIANCE PLAN
MI
01
—
P104439
BLUECARE NETWORK
MI
Enumeration date
06/01/2005
Last updated
06/27/2018
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