Individual
DR. JASON MICHAEL SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 TOWN CENTER DR STE 101, TROY, MI 48084-1744
(248) 740-0670
(248) 740-1668
Mailing address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301501364
MI
Other
Enumeration date
04/22/2014
Last updated
10/14/2020
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