Individual
DANIELLE SANDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
850 W BARAGA AVE, MARQUETTE, MI 49855-4550
(906) 361-2910
Mailing address
850 W BARAGA AVE, MARQUETTE, MI 49855-4550
(906) 449-3724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704311691
MI
Other
Enumeration date
01/24/2020
Last updated
06/15/2021
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