Sandstrom, Steven A

Sandstrom, Steven A is an individual health care provider with primary practice located at 210 Wisconsin American Dr , Fond Du Lac WI 54937-2999. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Sandstrom, Steven A can be contacted via phone (920) 907-7000.

Contact Information

Primary practice address
210 Wisconsin American Dr Fond Du Lac WI 54937-2999
Phone: (920) 907-7000
Fax: (920) 907-7110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01065870A Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 54351-20 Wisconsin

Profile Details

NPI number 1174625610
LBN Legal business name Sandstrom, Steven A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2006
Last updated Dec 13th, 2021 - about 4 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 1174625610 NPPES
Indiana Other 01065870A INDIANA PROFESSIONAL LICENSING AGENCY
Indiana Other 54351-20 INDIANA PROFESSIONAL LICENSING AGENCY

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