Sandra Lodge is a Physician Assistant based in Royal Oak, MI. Sandra Lodge practices in Troy, MI. The NPI Number for Sandra Lodge is 1417924499 and holds a License No. 5601003636 (Michigan).
The current practice location address for Sandra Lodge is 44201 Dequindre Rd, Troy, MI and can be reached out via phone at 248-964-5000.
Location: 44201 Dequindre Rd, Troy, MI, 48073-6712
Provider Profile Details
NPI Number
1417924499
Provider Name
Sandra Lodge
Credential
Provider Entity Type
Individual
Gender
Female
Address
44201 Dequindre Rd, Troy, MI, 48073-6712
Phone Number
248-964-5000
Fax Number
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0N67850011 | 01 | MI | MEDICARE |
| 0E01007 | 01 | MI | BCBSM |
Provider Business Practice Location Address Details
Address
44201 Dequindre Rd
City
State
Zip
48085-1117
Phone Number
248-964-5000
Fax Number
Provider Business Mailing Address Details
Address
44201 Dequindre Rd
City
State
Zip
48085-1117
Phone Number
248-964-5000
Fax Number
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
5601003636 (Michigan)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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