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Individual

DR. JOHN T SANDLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MS 515, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
18286
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00117973
MS
05
009912890
AL
05
0149812
MT
05
0527861
IA
05
060507302
TX
05
100041300A
OK
05
1135589 00
WY
05
132327001
AR
05
1533882
LA
05
2028880
OH
05
205029408
MO
05
3808850
TN
05
422400000
ME
05
544206
AZ
05
64926892
KY
05
6738303
VA
05
7611304
NC
Enumeration date
05/27/2005
Last updated
10/02/2012
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