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Individual

DR. JOHN ANTHONY SAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1100 S CARPENTER AVE, KINGSFORD, MI 49802-5518
(906) 776-5840
(906) 228-0203
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 774-1313
(906) 776-5639

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101008443
MI
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
5101008443
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0852200234
BCBS MI
MI
Enumeration date
07/12/2006
Last updated
06/17/2015
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