Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 036100288 | IL |
N | 2080N0001X | Neonatal-Perinatal Doctor | 35.098791 | OH |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 4301505415 | MI |
NPI | 1003869017 |
---|---|
Provider Name | Dr. Sandra B Cadichon |
First Address | Ann Arbor, MI 48105-9484 |
Second Address | Ypsilanti, MI 48197-1051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 24/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0063558 | (05) | OH |
036100288 | (05) | IL |
10003869017 | (05) | MI |
10256 | PARAMOUNT (01) | OH |
7010002 | AETNA (01) | |
H05448 | (02) |