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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SANFORD KOLTONOW, MD

Active Sole Proprietor

DR. SANFORD KOLTONOW, MD is a Psychoanalysis (Psychologist) healthcare provider located in BEVERLY HILLS, Michigan. NPI 1699734012 is currently active in the NPPES registry. Verify at CMS.

Psychoanalysis (Psychologist) · BEVERLY HILLS, MI

Registration Details

NPI Number
1699734012
Provider Type
Individual
Gender
Male
NPI Issued
Mar 23, 2006 (20.4060345975 yrs)
Last Updated
Jun 14, 2023
Licenses
4301045596 (MI)
4301045596 (MI)
Sole Proprietor
Yes

Practice Information

Address
31815 SOUTHFIELD RD STE 24
BEVERLY HILLS, MI, 480255471
Browse MI providers · Browse ZIP 48025
Phone
2484644354
Primary Specialty
Psychoanalysis (Psychologist)
103TP0814X
Additional Specialty
Emergency Medicine
Additional Specialty
Psychiatry
Additional Specialty
Psychoanalysis (Psychologist)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.