Individual
DR. MAXWELL LOUIS SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
WAKE FOREST SCHOOL OF MEDICINE MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-9601
Mailing address
994 W 2ND ST UNIT 386, WINSTON SALEM, NC 27101-3899
(248) 904-5200
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
390200000X
NC
Other
Enumeration date
03/21/2023
Last updated
04/04/2023
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