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Sandra L. Fornwalt, MD
Obstetrics Physician in Spokane, Washington
NPI 1588660427

Sandra L. Fornwalt is a Obstetrics Physician based in Liberty Lake, WA and is specialized in Obstetrics. Sandra L. Fornwalt practices in Spokane, WA and has the professional credentials of MD. The NPI Number for Sandra L. Fornwalt is 1588660427 and holds a License No. MD00049202 (Washington).

The current practice location address for Sandra L. Fornwalt is 101 W 8Th Ave, Spokane, WA and can be reached out via phone at 509-474-4060 and via fax at 509-474-6198. You can also correspond with Sandra L. Fornwalt through the mailing address at PO BOX 421, LIBERTY LAKE, WA - 99019-0421 (mailing address contact number: 866-747-2455).

Location: 101 W 8Th Ave, Spokane, WA, 99019-0421
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Provider Profile Details
NPI Number
1588660427
Provider Name
Sandra L. Fornwalt
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
101 W 8Th Ave, Spokane, WA, 99019-0421
Phone Number
509-474-4060
Fax Number
509-474-6198
Provider Enumeration Date
06/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
407023200 05 MD
institution
Provider Business Practice Location Address Details
Address
101 W 8Th Ave
City
State
Zip
99204-2307
Phone Number
509-474-4060
Fax Number
509-474-6198
person
Provider Business Mailing Address Details
Address
Po Box 421
City
State
Zip
99019-0421
Phone Number
866-747-2455
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
MD00049202 (Washington)
Definition
Definition to come...
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