Individual
DR. MICHAEL E SANDLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 S BELMONT AVE, STE 207, OKMULGEE, OK 74447-6351
(918) 758-0555
(918) 758-3431
Mailing address
1201 S BELMONT AVE, STE 207, OKMULGEE, OK 74447-6351
(918) 758-0555
(918) 758-3431
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8971
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100255700A
—
OK
01
—
731152977001
BCBS PROVIDER NUMBER
OK
Enumeration date
05/24/2005
Last updated
10/28/2008
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