Organization
SENTINEL LASER CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY LEE DAVISON (ACCOUNTS MANAGER)
(651) 287-8781
Entity
Organization
Contact information
Practice address
514 SAINT PETER ST, SAINT PAUL, MN 55102-1001
(651) 287-8781
(651) 287-8782
Mailing address
514 SAINT PETER ST, SAINT PAUL, MN 55102-1001
(651) 287-8781
(651) 287-8782
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
21358
MN
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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