Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles David Sandison

Individual provider Contractor · NPI 1528350535

Charles David Sandison is a Contractor in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011
Specialties on file
2

Practice location Address checks out

79 W Alexandrine St
Detroit, MI 48201-2015
Phone: (313) 262-0937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence S532115135684 (MI)
Contractor Taxonomy 171W00000X · Licence S532115135684 (MI)

Record details

NPI number1528350535
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 10, 2011
Last updated in NPPESOctober 30, 2012
Mailing address79 W Alexandrine St, Detroit, MI 48201-2015

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