Individual
DR. NICHOLAS RYAN SANDERSFELD
Active
Individual
DR. NICHOLAS RYAN SANDERSFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
5101020604
MI
2084P0800X
Psychiatry Physician
Primary
OP60608490
WA
390200000X
Student in an Organized Health Care Education/Training Program
9407902
KS
Other
Enumeration date
06/01/2012
Last updated
08/19/2016
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