Individual
MICHAEL SANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 HIGHWAY 123 W, SANDSTONE, MN 55072-5060
(320) 237-4227
Mailing address
PO BOX 26, SANDSTONE, MN 55072-0026
(320) 245-5355
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
G347034690214
MN
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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