Most Relevant Information
Provider Data
| NPI Number: | 1003545187 |
| Provider Name: | ANNA SALL DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 5151015423 |
Most Important Dates
| Enumeration Date: | 06/06/2022 |
| Last Updated: | 06/06/2022 |
Provider Practice Location
2900 COLLINS RD
LANSING
MI
489108394
Practice Location Phone/Fax
| Phone: | 5179756000 |
| Fax: |
Provider Mailing Location
2900 COLLINS RD
LANSING
MI
489108394
Provider Mailing Phone/Fax
| Phone: | 5179756000 |
| Fax: |