Individual
SARAH MAE ANIKPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9983
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310475300
—
MN
Enumeration date
07/17/2006
Last updated
01/07/2014
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