NPI 1386064939

Jason Michael Sandberg, MD

Practitioner Urology Physician Troy, MI

Practice location

Address: 130 Town Center Dr STE 101, Troy, MI 48084-1744
Phone: (248) 740-0670
Fax: (248) 740-1668
Mailing address: 20952 E 12 Mile Rd STE 200, Saint Clair Shores, MI 48081-3203

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 4301501364 (MI)

Other Urology providers in Michigan →

Registry record

NPI: 1386064939
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2014
Record last updated: 14 Oct 2020

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.