Organization
TODD A SANDROCK DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD A SANDROCK DO (ORTHOPEDIC SURGEON / PRESIDENT)
(810) 232-6190
Entity
Organization
Contact information
Practice address
G3169 BEECHER RD, SUITE 101, FLINT, MI 48532-3611
(810) 232-6190
Mailing address
G3169 BEECHER RD, SUITE 101, FLINT, MI 48532-3611
(810) 232-6190
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
TS012492
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0990587
HEALTHPLUS OF MI
—
01
—
2052502185
BLUE CROSS BLUE SHIELD MI
—
05
—
4304480
—
MI
01
—
4577138
AETNA
—
01
—
930116191
RAILROAD MEDICARE
—
01
—
F45154
HAP
—
Enumeration date
04/22/2008
Last updated
04/22/2008
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