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Mr. William Sandstrom
Lodging Provider in Wrenshall, Minnesota
NPI 1720144058

William Sandstrom is a Lodging Provider based in Wrenshall, MN. William Sandstrom practices in Wrenshall, MN. The NPI Number for William Sandstrom is 1720144058 and holds a License No. 229348-1-AFC (Minnesota).

The current practice location address for William Sandstrom is 1184 Alcohol Rd, Wrenshall, MN and can be reached out via phone at 218-384-9409.

Location: 1184 Alcohol Rd, Wrenshall, MN, 55797-9038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720144058
Provider Name
William Sandstrom
Credential
Provider Entity Type
Individual
Gender
Male
Address
1184 Alcohol Rd, Wrenshall, MN, 55797-9038
Phone Number
218-384-9409
Fax Number
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1184 Alcohol Rd
City
Wrenshall
State
Minnesota
Zip
55797-9038
Phone Number
218-384-9409
Fax Number
person
Provider Business Mailing Address Details
Address
1184 Alcohol Rd
City
Wrenshall
State
Minnesota
Zip
55797-9038
Phone Number
218-384-9409
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
229348-1-AFC (Minnesota)
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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