Individual
PETER EDWIN SANDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 PARK AVE., MINNEAPOLIS, MN 55415
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45110
MN
Other
Enumeration date
04/25/2006
Last updated
04/24/2015
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