Individual
DR. SANDRA COLLEEN DISANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-5345
(248) 465-5357
Mailing address
2799 W GRAND BLVD, DEPARTMENT OF OCCUPATIONAL HEALTH, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704206893
MI
Other
Enumeration date
04/13/2007
Last updated
10/17/2024
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