Provider Demographics
NPI:1770690463
Name:SANDEEN, SVEN NICKLAS (MD)
Entity Type:Individual
Prefix:
First Name:SVEN
Middle Name:NICKLAS
Last Name:SANDEEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7436 N LA CHOLLA BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2306
Mailing Address - Country:US
Mailing Address - Phone:520-297-3300
Mailing Address - Fax:520-888-2698
Practice Address - Street 1:7436 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2306
Practice Address - Country:US
Practice Address - Phone:520-297-3300
Practice Address - Fax:520-888-2698
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2022-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ376762082S0105X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand