Individual
MR. MICHAEL WILLIAM SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
1232 NOWLEN ST, LEBANON, PA 17042-7238
(717) 270-6688
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MSO2323L
PA
Other
Enumeration date
08/14/2006
Last updated
07/21/2022
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