Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301501359 | MI |
N | 208000000X | Pediatrician | MD-45991 | IA |
Y | 2080P0205X | Pediatric Endocrinologist | 4301501359 | MI |
N | 2080P0205X | Pediatric Endocrinologist | MD-45991 | IA |
NPI | 1184069940 |
---|---|
Provider Name | Elizabeth Schweighofer Sandberg |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2013 |
Last Update Date | 29/07/2020 |