Individual
TODD ALAN SANDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1705 16TH AVE, CUMBERLAND, WI 54829-8601
(715) 822-7500
(715) 822-7501
Mailing address
1705 16TH AVE, CUMBERLAND, WI 54829-8601
(715) 822-7500
(715) 822-7501
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37740
WI
208600000X
Surgery Physician
Primary
43169
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32236700
—
WI
05
—
518209
—
AZ
Enumeration date
01/17/2006
Last updated
02/18/2026
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