Doctor Name: | DR. MICHAEL SANDERS |
NPI Number: | 1063538544 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301100083 |
Business Practice Address: | 1112 W 6th Suite 110 Lawrence, KS - 66044 |
Business Phone Number: | 7858413211 |
Business Fax Number: | 7858418570 |
Mailing Address: | 1112 W 6th, Suite 110 LAWRENCE |
State: | KS |
Postal Code: | 66044 |
Phone Number: | 7858413211 |
Fax Number: | 7858418570 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 4301100083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |