Individual
TODD A. SANDROCK
Active
Individual
TODD A. SANDROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Update your record
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