Provider Demographics
NPI:1346699980
Name:SANDY, REGINALD TORRENCE (DO)
Entity Type:Individual
Prefix:DR
First Name:REGINALD
Middle Name:TORRENCE
Last Name:SANDY
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1 GENESYS PKWY
Mailing Address - Street 2:GENESYS REGIONAL MEDICAL CENTER
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-8065
Mailing Address - Country:US
Mailing Address - Phone:810-606-5981
Mailing Address - Fax:810-606-5900
Practice Address - Street 1:1 GENESYS PKWY
Practice Address - Street 2:GENESYS REGIONAL MEDICAL CENTER
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-8065
Practice Address - Country:US
Practice Address - Phone:810-606-5981
Practice Address - Fax:810-606-5900
Is Sole Proprietor?:No
Enumeration Date:2016-06-05
Last Update Date:2021-04-09
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Provider Licenses
StateLicense IDTaxonomies
MI5101022432207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine