Individual
ALANA SASAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(808) 222-0389
Mailing address
777 RAYMOND AVE, SAINT PAUL, MN 55114-1522
(651) 447-3755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
55992
MN
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
55992
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
04/20/2011
Last updated
09/17/2020
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