Individual
ERIN NETTELAND-SANDVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1601 NW 114TH ST, CLIVE, IA 50325-7007
(515) 222-7000
(515) 222-7037
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7000
(515) 222-7037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36107387
IL
207Q00000X
Family Medicine Physician
Primary
3966
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107387
—
IL
Enumeration date
05/05/2006
Last updated
05/03/2023
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