Individual
THOMAS L SATTERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3701 12TH STREET N, SUITE 100, ST CLOUD, MN 56303
(320) 253-7257
(320) 251-2938
Mailing address
3701 12TH STREET N, SUITE 100, ST CLOUD, MN 56303
(320) 253-7257
(320) 251-2938
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
28362
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106931
UCARE
—
01
—
1324453
MEDICA
—
01
—
249000021
METRAHEALTH
—
01
—
41018SA
BCBS
—
01
—
532004
P ONE
—
01
—
916002700
MA PROVIDER #
—
05
—
916002700
—
MN
Enumeration date
07/18/2006
Last updated
02/22/2023
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