Individual
DR. YADER BENITO SANDOVAL PICHARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E 28TH ST STE H2100, MINNEAPOLIS, MN 55407-3723
(612) 863-3900
(612) 775-3199
Mailing address
PO BOX 43, MR 10860, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-9035
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
61727
MN
207RC0000X
Cardiovascular Disease Physician
66705-20
WI
207RI0011X
Interventional Cardiology Physician
61727
MN
207RI0011X
Interventional Cardiology Physician
66705-20
WI
Other
Enumeration date
06/25/2010
Last updated
11/21/2023
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