Individual
MS. SANDRA JEAN METZGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 E MICHIGAN AVE, SUITE 345, LANSING, MI 48912-1800
(517) 364-5610
(517) 364-5614
Mailing address
990 CRIMSON CT, EAST LANSING, MI 48823-2423
(517) 337-2251
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704126282
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4087314
—
MI
01
—
5008761150
BCBS INDIVIDUAL PIN
MI
Enumeration date
10/20/2006
Last updated
07/08/2007
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