Individual
SANDRA A COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Mailing address
2005 DOUGALL RD, AUBURN, NY 13021-9787
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301506670
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20220323695961
—
MI
01
—
4301506670
MICHIGAN STATE LICENSE
MI
Enumeration date
04/22/2017
Last updated
01/13/2026
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