Sandock, David S.

Sandock, David S. is an individual health care provider with primary practice located at 2311 N Prospect Ave , Milwaukee WI 53211-4445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sandock, David S. can be contacted via phone (414) 319-3000.

Contact Information

Primary practice address
2311 N Prospect Ave Milwaukee WI 53211-4445
Phone: (414) 319-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 37739 Wisconsin

Profile Details

NPI number 1124015961
LBN Legal business name Sandock, David S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jun 12th, 2012 - about 12 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 1124015961 NPPES
Wisconsin MEDICAID 32233400

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