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Contact Information

TODD A SANDROCK, DO
861 HEALTH PARK BLVD
GRAND BLANC, MI48439
 Phone: 810-953-0500
 Fax: 810-953-0031
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TODD A SANDROCK · (Male)

NPI # 1235131541
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/01/2005
Last updated 06/27/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # TS012492
  • MI Medicaid 4304480
  • MI Other 4577138 AETNA
  • MI Other 20-5250218-5 BLUE CROSS OF MICHIGAN
  • MI Other P104439 BLUECARE NETWORK
  • MI Other 131822 CARE CHOICES
  • MI Other 383602347 CHAMPUS/TRICARE
  • MI Other F45154 HEALTH ALLIANCE PLAN
  • MI Other 0990587 HEALTHPLUS OF MICHIGAN
  • MI Other C7778 MCARE
  • MI Other 930116191 MEDICARE RAILROAD
  • MI Other 383602347 PPOM
  • MI Other F45154 SELECTCARE
Hospital affiliation(s)
  • GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK - (Acute Care)
    ONE GENESYS PARKWAY
    GRAND BLANC, MI 48439
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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