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Individual

DR. SANDER J PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1949 W 12 MILE RD, STE 200, BERKLEY, MI 48072-1868
(248) 543-3700
(248) 543-4180
Mailing address
1949 W 12 MILE RD, STE 200, BERKLEY, MI 48072-1868
(248) 543-3700
(248) 543-4180

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301052101
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2696353
MI
Enumeration date
10/17/2006
Last updated
05/16/2012
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