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Individual

DR. WARREN STON SANDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
1211 21ST AVE SOUTH, MEDICAL ARTS BLDG., ROOM 701, NASHVILLE, TN 37212-1050
(615) 936-1595
(615) 343-7246
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
155981
MA
207L00000X
Anesthesiology Physician
Primary
46027
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3179524
MA
01
790550
TUFTS HEALTH PLAN
MA
01
J18935
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
03/22/2022
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