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Individual

DR. NICHOLAS RYAN SANDERSFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
105 W 8TH AVE, SUITE 450E, SPOKANE, WA 99204-2302
(509) 474-6920
Mailing address
PO BOX 421, MICHIGAN STATE UNIVERSITY, DEPT PSYCHIATRY, LIBERTY LAKE, WA 99019-0421
(866) 747-2455

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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