Individual
SALLY H ENGEBRETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15655 37TH AVE N STE 100, PLYMOUTH, MN 55446-4003
(763) 587-7900
(763) 587-7701
Mailing address
9201 W BROADWAY AVE STE 601, BROOKLYN PARK, MN 55445-1924
(763) 587-7900
(763) 587-7701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43959
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532434300
—
MN
Enumeration date
04/10/2006
Last updated
11/07/2022
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