Individual
MARK R SANNES V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-2089
Mailing address
6465 WAYZATA BLVD, SUITE 315, MINNEAPOLIS, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
43236
MN
Other
Enumeration date
03/16/2006
Last updated
10/07/2011
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