Individual
DR. MARTHA LOUISE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 275-3325
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29646
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30855000
—
WI
05
—
888877900
—
MN
Enumeration date
12/07/2005
Last updated
06/03/2021
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