Individual
PAUL SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757
Mailing address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5253
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108067
UCAREMN
MN
01
—
4500160
MEDICA
MN
05
—
51795
—
ND
01
—
HP60939
HEALTHPARTNERS
MN
Enumeration date
10/02/2006
Last updated
07/08/2010
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