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Individual

DANIEL PETER SIPPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7373 FRANCE AVE S STE 408, EDINA, MN 55435-4549
(651) 430-3800
(651) 430-3827
Mailing address
1950 NORTHWESTERN AVE, SUITE 102, STILLWATER, MN 55082-7615
(651) 430-3800
(651) 430-3827

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
46488
CO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
46488
CO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
53652
MN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
54993-021
WI

Other

Enumeration date
05/09/2007
Last updated
03/11/2021
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