Individual
DR. KRISTOFER GIBSON SANDLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 NEWARK ROAD, ZANESVILLE, OH 43701-2861
(740) 452-7359
(740) 452-7309
Mailing address
1215 NEWARK ROAD, ZANESVILLE, OH 43701-2861
(740) 452-7359
(740) 452-7309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35048739S
OH
208D00000X
General Practice Physician
35048739S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0549142
—
OH
Enumeration date
10/11/2005
Last updated
04/28/2020
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