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Individual

SANDRA KAY WILBANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
7362 MIDLAND RD, FREELAND, MI 48623-8803
(989) 692-7000
(989) 695-2757
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 692-7000
(989) 695-2757

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704130169
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396850418
MI
Enumeration date
07/14/2005
Last updated
06/19/2014
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