SANFORD KOLTONOW, MD

Psychoanalysis Psychologist · BEVERLY HILLS, MI

Individual Active Opted out of Medicare NPI 1699734012

Taxonomy & licensure

Specialty	Code	Primary	License	State
Psychoanalysis Psychologist	103TP0814X	✓	—	—
Counseling Psychologist	103TC1900X		—	—
Emergency Medicine Physician	207P00000X		4301045596	MI
Psychiatry Physician	2084P0800X		4301045596	MI

Opted out of Medicare (Emergency Medicine), effective 2023-08-04 through 2027-08-04.

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.