Individual
SANDRA STAUBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4288 3 MILE ROAD, WALKER, MI 49534
(616) 458-3677
(616) 459-6850
Mailing address
4288 THREE MILE ROAD, WALKER, MI 49534
(616) 458-3677
(616) 459-6850
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301057826
MI
Other
Enumeration date
09/25/2006
Last updated
07/16/2007
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