Paul, Sander J

Paul, Sander J is an individual health care provider with primary practice located at 1949 W 12 Mile Rd Ste 200, Berkley MI 48072-1868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Paul, Sander J can be contacted via phone (248) 543-3700.

Contact Information

Primary practice address
1949 W 12 Mile Rd Ste 200 Berkley MI 48072-1868
Phone: (248) 543-3700
Fax: (248) 543-4180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 4301052101 Michigan

Profile Details

NPI number 1447331764
LBN Legal business name Paul, Sander J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated May 16th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447331764 NPPES
Michigan MEDICAID 2696353

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