Individual
DR. SANDRA Z BEULKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
Mailing address
PO BOX 81, CHASKA, MN 55318-0081
(888) 398-3327
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37948
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01014327
PREFERRED ONE
—
01
—
065K8BE
BCBS
—
01
—
39-02548
MEDICA EMERG
—
01
—
66-08247
MEDICA U/C
—
05
—
735026100
—
MN
01
—
HP23128
HELATH PARTNERS
—
Enumeration date
05/25/2006
Last updated
05/10/2016
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