Sandager, Thomas D

Sandager, Thomas D is an individual health care provider with primary practice located at 12961 27Th Ave , Chippewa Falls WI 54729-5699. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sandager, Thomas D can be contacted via phone (715) 738-3700.

Contact Information

Primary practice address
12961 27Th Ave Chippewa Falls WI 54729-5699
Phone: (715) 738-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25697 Wisconsin

Profile Details

NPI number 1306947908
LBN Legal business name Sandager, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 20th, 2010 - about 16 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 1306947908 NPPES
Wisconsin MEDICAID 30525300

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