Provider Demographics
NPI:1912094814
Name:MUNSTERS, SANDRA S (DO)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:S
Last Name:MUNSTERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 S SHAYTOWN RD
Mailing Address - Street 2:
Mailing Address - City:VERMONTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49096-9528
Mailing Address - Country:US
Mailing Address - Phone:517-543-3544
Mailing Address - Fax:517-543-3544
Practice Address - Street 1:1820 S SHAYTOWN RD
Practice Address - Street 2:
Practice Address - City:VERMONTVILLE
Practice Address - State:MI
Practice Address - Zip Code:49096-9528
Practice Address - Country:US
Practice Address - Phone:517-543-3544
Practice Address - Fax:517-543-3544
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101015593207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine