IndividualActive
Derrick Sandles
NPI 1124825682 · Driver · Milwaukee, WI
Provider details
- NPI number
- 1124825682
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
9218 N 60th St
Milwaukee, WI 53223-1502
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.