Derrick Sandles
NPI 1124825682 · on the registry since 2025 · sole proprietor
Practice
- Address
- 9218 N 60th St
Milwaukee, WI 53223 - Phone
- (262) 349-6839
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin