Provider Demographics
NPI:1235834342
Name:ANAZOR, SANDRA OBIANUJU (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:OBIANUJU
Last Name:ANAZOR
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 COLUMBIA AVE E STE B
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-5159
Mailing Address - Country:US
Mailing Address - Phone:616-204-9679
Mailing Address - Fax:
Practice Address - Street 1:1250 COLUMBIA AVE E STE B
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-5159
Practice Address - Country:US
Practice Address - Phone:616-204-9679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301514147208D00000X, 207Q00000X
MI4351051311207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology