Individual
SHILOH SATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 BIELENBERG DR STE 102-105, WOODBURY, MN 55125-1700
(612) 445-8327
Mailing address
731 BIELENBERG DR STE 102-015, SAINT PAUL, MN 55125-1700
(612) 445-8327
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247200000X
—
MN
Enumeration date
06/07/2021
Last updated
06/07/2021
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