Individual
MR. JEFFREY PAUL SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5137 GUS YOUNG LANE, SANDERSON EYE SPECIALISTS, EDINA, MN 55436
(952) 641-6226
(952) 641-6229
Mailing address
5137 GUS YOUNG LANE, SANDERSON EYE SPECIALISTS, EDINA, MN 55436
(952) 641-6226
(952) 641-6229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200513762
MO
207W00000X
Ophthalmology Physician
Primary
44481
MN
Other
Enumeration date
08/22/2005
Last updated
07/31/2015
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