NPI 1053769943

Michael Quintin Sanderson, MD

Practitioner Pediatrics Physician Sheridan, WY

Practice location

Address: 916 Jackson Ave, Sheridan, WY 82801-2708
Phone: (307) 675-5555
Fax: (307) 675-5599

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 12125A (WY)

Other Pediatrics providers in Wyoming →

Registry record

NPI: 1053769943
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2016
Record last updated: 30 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.