Individual
DR. VICTOR MANUEL SANDOVAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 KOLBE RD, SUITE 011, LORAIN, OH 44053-1654
(440) 282-8355
(440) 282-8357
Mailing address
3600 KOLBE RD, SUITE 011, LORAIN, OH 44053-1654
(440) 282-8355
(440) 282-8357
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35042370S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392383
—
OH
Enumeration date
12/28/2005
Last updated
07/08/2007
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