Mark T Sanford O.D.

NPI 1407908270 - Optometrist - 152W00000X

NPI Details
NPI 1407908270
Gender Male
Enumeration Date 01/18/2007
Last Updated 12/06/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
101 E LONG LAKE RD
TROY MI, 48085-5524, US
Phone (248) 879-2388
Fax (248) 879-3857
Business Location
101 E LONG LAKE RD
TROY MI, 48085-5524, US
Phone (248) 879-2388
Fax (248) 879-3857
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901002762
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According to our database, Dr. Mark T Sanford O.D. NPI is 1407908270, taxonomy code is 152W00000X and license number is 4901002762, license state is located at Michigan. Mark T Sanford O.D. physically located at 101 E Long Lake Rd, Troy MI, 48085-5524. NPI Number Mark T Sanford O.D. has the Individual type.

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1407908270 NPI number is provided on an as is basis without warranty of any kind. 1407908270 is maintained by the National Plan & Provider Enumeration System. The contents of Mark T Sanford O.D. are for informational purposes only.