Individual
ADAM SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 LANSING AVE, JACKSON, MI 49202-1621
(517) 784-2929
Mailing address
311 E BIRD ST, JACKSON, MI 49203-5777
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703102228
MI
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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