Individual
MR. MICHAEL G SANGSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2524 CRESTWOOD RD, SUITE 3, NORTH LITTLE ROCK, AR 72116-7623
(501) 791-7546
(501) 753-1992
Mailing address
2524 CRESTWOOD RD, SUITE 3, NORTH LITTLE ROCK, AR 72116-7623
(501) 791-7546
(501) 753-1992
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C8303
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070009090
RR MC
AR
05
—
132088002
—
AR
01
—
5594317
AETNA
AR
Enumeration date
08/26/2005
Last updated
12/15/2010
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