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Individual

DR. STEPHANIE HAIL SANDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1675 LEAHY ST, SUITE 428, MUSKEGON, MI 49442-5500
(231) 672-3300
(231) 672-3380
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 728-4789

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101017041
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MI1763067
MEDICARE GROUP PTAN
MI
01
MI4162
MEDICARE GROUP PTAN
MI
01
N42130040
MEDICARE GROUP PTAN
MI
Enumeration date
04/24/2007
Last updated
12/03/2021
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