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Individual

SUNNY SHARAI SOMMERS KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3025
(952) 993-1937
Mailing address
6465 WAYZATA BLVD, STE 210, ST LOUIS PARK, MN 55426-1728

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9759
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
522435700
MN
Enumeration date
12/27/2005
Last updated
06/18/2009
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