SANDRA LODGE

TROY, MI
NPI1417924499
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601003636)
Enumeration Date2006-03-08
Last Update Date2017-10-23
Business Address
SANDRA LODGE
44201 DEQUINDRE RD
TROY, MI 48085-1117
Phone number: 248-964-5000
Mailing Address
SANDRA LODGE
3601 W 13 MILE RD 400-FSC/PCS
ROYAL OAK, MI 48073-6712
Phone number:
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