Individual
GEORGIANA M SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, SUITE H-2100, ANN ARBOR, MI 48105-9484
(734) 647-5940
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301037103
MI
208000000X
Pediatrics Physician
4301037103
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1547312
—
MI
Enumeration date
10/11/2006
Last updated
03/02/2011
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