Individual
DR. SLOAN W D'AUTREMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2500
(612) 302-4870
Mailing address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2500
(612) 302-4870
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
37931
MN
208000000X
Pediatrics Physician
Primary
37931
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751725400
—
MN
Enumeration date
06/19/2006
Last updated
03/12/2013
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