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Individual

MR. ROBERT A. SANDEFUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NCMMT

Contact information

Practice address
226 SIDNEY ST, DUNDEE, MI 48131-1267
(734) 529-5138
(734) 529-5626
Mailing address
226 SIDNEY ST, DUNDEE, MI 48131-1267
(734) 529-5138
(734) 529-5626

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
04/14/2007
Last updated
07/08/2007
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