Individual
SARA TANDOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
25600 SCHOENHERR RD, WARREN, MI 48089-1447
(586) 777-6170
Mailing address
25600 SCHOENHERR RD, WARREN, MI 48089-1447
(586) 777-6170
(586) 777-6582
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704240506
MI
Other
Enumeration date
03/18/2011
Last updated
03/29/2019
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