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Individual

DR. CYNTHIA SANDONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
28080 GRAND RIVER AVE, SUITE 204 N, FARMINGTON HILLS, MI 48336-5966
(248) 478-7767
(248) 478-5727
Mailing address
28080 GRAND RIVER AVE, SUITE 204 N, FARMINGTON HILLS, MI 48336-5966
(248) 478-7767
(248) 478-5727

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
011366
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0256302775
BLUE CROSS OF MI
MI
05
3243601
MI
01
OM25740
MEDICARE RAILROAD
MI
Enumeration date
08/31/2006
Last updated
07/23/2024
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