Individual
SANFORD J VIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
28050 GRAND RIVER AVENUE, ER DEPARTMENT, FARMINGTON HILLS, MI 48336
(248) 471-8808
(248) 615-7415
Mailing address
6530 BRISTOL DR, WEST BLOOMFIELD, MI 48322-3240
(248) 931-2274
(248) 661-9088
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101010234
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
SV010234
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114575660
—
MI
Enumeration date
07/11/2006
Last updated
05/23/2023
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