Individual
TODD EDWIN SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3306 E BALDWIN RD, GRAND BLANC, MI 48439-8300
(810) 348-3754
Mailing address
3306 E BALDWIN RD, GRAND BLANC, MI 48439-8300
(810) 348-3754
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704214995
MI
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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