Individual
DR. SANDRA HAGER ELIASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-6099
(612) 273-6461
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-6099
(612) 273-6461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26558
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107538
MEDICA
MN
01
—
0190013
PREFERRED ONE
MN
01
—
08F21EL
BCBS OF MN
MN
01
—
107288
UCARE MN
MN
01
—
21529
AMERICA'S PPO
MN
05
—
473003800
—
MN
01
—
6603848
MEDICA UC
MN
01
—
HP19872
HEALTHPARTNERS
MN
Enumeration date
04/06/2006
Last updated
06/08/2012
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