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Individual

MICHELLE LEI SANDWISCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, CNP-C

Contact information

Practice address
2602 N PROCTOR ST STE 203, TACOMA, WA 98407-5250
(253) 203-6048
(253) 777-0948
Mailing address
2602 N PROCTOR ST STE 203, TACOMA, WA 98407-5250
(253) 203-6048
(253) 777-0948

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP61033178
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000000000
N/A
OH
Enumeration date
06/22/2018
Last updated
10/05/2025
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