Individual
OMER SANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2635 UNIVERSITY AVE W, SUITE 100B, SAINT PAUL, MN 55114-1270
(651) 241-9300
(651) 241-9285
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27515
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820270200
—
MN
Enumeration date
07/08/2006
Last updated
01/25/2012
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