Provider Demographics
NPI:1982612099
Name:MARTSCHING, SANDRA LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:LEE
Last Name:MARTSCHING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 9TH STREET WEST
Mailing Address - Street 2:BRIDGES MEDICAL CENTER
Mailing Address - City:ADA
Mailing Address - State:MN
Mailing Address - Zip Code:56510
Mailing Address - Country:US
Mailing Address - Phone:218-784-2727
Mailing Address - Fax:
Practice Address - Street 1:201 9TH STREET WEST
Practice Address - Street 2:BRIDGES MEDICAL CENTER
Practice Address - City:ADA
Practice Address - State:MN
Practice Address - Zip Code:56510
Practice Address - Country:US
Practice Address - Phone:218-784-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNH34904207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN259J1MAOtherBCBSMN #
MN534112400Medicaid
MN43324OtherSTATE LICENSE #