Individual
CONNOR WILLIAM SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5400 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-2913
(952) 993-1000
(952) 993-1160
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12803
MN
Other
Enumeration date
09/27/2018
Last updated
05/20/2022
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