Individual
DR. GRETCHEN SANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 UNITED DR, SUITE 110, COLLINSVILLE, IL 62234-7428
(618) 855-9041
(618) 855-9046
Mailing address
101 UNITED DR, SUITE 110, COLLINSVILLE, IL 62234-7428
(618) 855-9041
(618) 855-9046
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36118745
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118745
—
IL
Enumeration date
07/10/2007
Last updated
02/19/2013
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