Individual
SANDRA S ENGWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6845 LEE AVE N - MAIL STOP 31400A, HEALTHPARTNERS BROOKLYN CENTER CLINIC, BROOKLYN CENTER, MN 55429-1717
(763) 503-4400
(763) 503-4395
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(763) 569-0311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27983
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27,983
MINNESOTA LICENSE STATE OF MN, BOARD OF MEDICAL PRACTICE
—
05
—
729880300
—
MN
Enumeration date
02/10/2006
Last updated
12/14/2011
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