Individual
SANDEEP KAUR BAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3355 EAGLE PARK DR NE, SUITE 105, GRAND RAPIDS, MI 49525-7004
(616) 957-2088
(855) 665-5636
Mailing address
PO BOX 4839, TROY, MI 48099-4839
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002485
MI
213E00000X
Podiatrist
E4939
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E4939
CA
Other
Enumeration date
07/13/2009
Last updated
07/03/2013
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