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Individual

DR. SANDRA LEE REBISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
859 E FOOTHILL BLVD STE B, UPLAND, CA 91786-4085
(909) 981-8929
(909) 946-9740
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A81296
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A81296
CA

Other

Enumeration date
04/06/2007
Last updated
01/20/2023
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