Individual
DR. MICHAEL ISIAH SANDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1608 S J ST, FLOOR 4, TACOMA, WA 98405-4930
(253) 274-7504
(253) 274-7994
Mailing address
1608 S J ST, FLOOR 4, TACOMA, WA 98405-4930
(253) 274-7504
(253) 274-7994
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
207X00000X
CA
207X00000X
Orthopaedic Surgery Physician
Primary
MD60658823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
366551
STATE L&I
WA
Enumeration date
04/13/2010
Last updated
04/29/2021
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