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NPI Code Detail

MEDICARE: DR. SANDOR ROBERT TERNER DO

MEDICARE: DR. SANDOR ROBERT TERNER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician5101012682MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164490926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDOR ROBERT TERNER DO
Provider Business Mailing Address
First Line : 4113 GOLF RIDGE DR E
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-1728
Country : US
Telephone Number : 616-364-4200
Fax Number : 616-364-7347
Provider Business Practice Location Address
First Line : 28050 GRAND RIVER AVE
Second Line : BOTSFORD GENERAL HOSPITAL ANESTHESIA DEPT
City : FARMINGTON HILLS
State : MI
Zip : 48336-5919
Country : US
Telephone Number : 616-364-4200
Fax Number : 616-364-7347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 02/11/2011

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Directions to “ DR. SANDOR ROBERT TERNER DO” Practice Location

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