Individual
PAUL N. SANDAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19852
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
871083000
—
MN
Enumeration date
03/22/2006
Last updated
10/13/2011
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