Organization
LYMPHEDEMA&PHYSICAL MEDICINE SERVICES PA
Active
Organization
LYMPHEDEMA&PHYSICAL MEDICINE SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA ROSENBERG MD (PRESIDENT)
(651) 451-5949
Entity
Organization
Contact information
Practice address
17 EXCHANGE ST W, SUITE 600, SAINT PAUL, MN 55102-1045
(651) 232-2550
Mailing address
1558 PARK CIR, MENDOTA HEIGHTS, MN 55118-2745
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1522
MN
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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