Individual
SANDRA SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2940 SNELLING AVE N, SAINT PAUL, MN 55113-1413
(651) 633-5603
(651) 633-5616
Mailing address
2940 SNELLING AVE N, SAINT PAUL, MN 55113-1413
(651) 633-5603
(651) 633-5616
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22746
MN
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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