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Individual

SCHUYLER OTTO SANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2800 10TH AVE S STE 2200, HOSPITAL PATHOLOGY ASSOC, MINNEAPOLIS, MN 55407-1311
(612) 767-8370
(612) 767-8376
Mailing address
2800 10TH AVE S STE 2200, HOSPITAL PATHOLOGY ASSOC, MINNEAPOLIS, MN 55407-1311
(612) 767-8370
(612) 767-8376

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
45109
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
094043700
MN
Enumeration date
12/30/2005
Last updated
08/26/2020
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