Individual
DR. GLENN DOUGLAS SANDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
G65358
CA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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