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Organization

SASAKI MEDICAL LLC

Active
Parent organization
SASAKI MEDICAL LLC
Other names
Kai Shin Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
SASAKI MEDICAL LLC
Authorized official
ALANA K SASAKI MD (OWNER/MEDICAL DIRECTOR)
(651) 447-3755
Entity
Organization

Contact information

Practice address
1919 UNIVERSITY AVE W, ST PAUL, MN 55104
(651) 447-3755
(651) 444-8923
Mailing address
777 RAYMOND AVE, ST PAUL, MN 55114
(651) 447-3755
(651) 444-8923

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
07/29/2020
Last updated
07/29/2020
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