Individual
DR. SANDRA ANN AMUNDSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D. C.
Contact information
Practice address
1729 MELROSE AVE, EAST LANSING, MI 48823-3727
(517) 324-3807
(517) 324-3820
Mailing address
1729 MELROSE AVE, EAST LANSING, MI 48823-3727
(517) 324-3807
(517) 324-3820
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005059
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1641065
—
MI
01
—
44-09226
PHYSICIANS HEALTH PLAN
MI
01
—
950C35002
BLUE CROSS AND BLUE SHIEL
MI
Enumeration date
04/25/2006
Last updated
07/08/2007
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