Organization
SASAKI MEDICAL LLC
Active
Other names
Kai Shin Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALANA KIM SASAKI M.D. (PRESIDENT)
(651) 447-3755
Entity
Organization
Contact information
Practice address
2233 HAMLINE AVE N, STE 110, ROSEVILLE, MN 55113-5009
(651) 447-3755
Mailing address
777 RAYMOND AVE, SAINT PAUL, MN 55114-1522
(651) 447-3755
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
07/12/2016
Last updated
05/02/2024
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