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Deactivated NPI 1720144058 Deactivated / Inactive NPI Male Practitioner

William Sandstrom

Lodging • Wrenshall, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, William Sandstrom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 29, 2006
NPI Deactivation Date July 31, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

William Sandstrom was a registered Lodging practicing in Wrenshall, MN. Throughout an active medical career spanning 19 years, William Sandstrom provided care at the practice location at 1184 ALCOHOL RD until profile deactivation on 2025-07-31.

Practice Location & Contact Primary Location

Practice Address

1184 Alcohol Rd

Wrenshall, MN 557979038

Telephone 2183849409

Specialty Benchmarks & Practice Insights

Comparative analytics for Lodging in Wrenshall, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Wrenshall, MN (22 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Lodging Primary Specialty

NUCC Taxonomy Code: 177F00000X

State License MN 229348-1-AFC

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 31, 2025

Record deactivated on July 31, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1184 ALCOHOL RD, WRENSHALL, MN 557979038 (Tel: 2183849409)

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Updated Business Mailing Address July 08, 2007

Registered at 1184 ALCOHOL RD, WRENSHALL, MN 557979038 (Tel: 2183849409)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM SANDSTROM

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Lodging (License #229348-1-AFC in MN)

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Initial NPI Registration & Enumeration December 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720144058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2006
Last Update: July 08, 2007
Deactivation Date: July 31, 2025

Mailing Address

1184 Alcohol Rd

Wrenshall, MN 557979038

Phone: 2183849409

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.