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DR. SANDRA ANN AMUNDSEN D. C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1437115714

Individual Registrant:
DR. SANDRA ANN AMUNDSEN D. C.
Gender: F

Location and contact information for practice:
1729 MELROSE AVE  EAST LANSING, MI 48823-3727 US
Tel: 517-324-3807  Fax: 517-324-3820

Contact information for business:
1729 MELROSE AVE  EAST LANSING, MI 48823-3727 US
Tel: 517-324-3807  Fax: 517-324-3820

Registration Information:
NPI: 1437115714
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
MI2301005059

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS AND BLUE SHIEL950C35002MI01
1641065MI05
PHYSICIANS HEALTH PLAN44-09226MI01




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