Individual
DAVID J SANDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
207Q00000X
Family Medicine Physician
Primary
21639
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-00797
MEDICAFFMG & WRC
MN
01
—
01-23706
MEDICABLC
MN
05
—
0159499
—
WA
05
—
0967679
—
IA
01
—
1008797
PREFERREDONE
MN
01
—
107116
UCAREMN
MN
05
—
13217
—
ND
05
—
147662401
—
TX
05
—
265283800
—
MN
05
—
41091744413
—
NE
01
—
62780SA
BCBS
MN
01
—
HP26725
HEALTHPARTNERS
MN
Enumeration date
09/22/2006
Last updated
07/08/2010
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