Organization
SENTINEL MEDICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY LEE DAVISON (BUSINESS MANAGER)
(651) 287-8781
Entity
Organization
Contact information
Practice address
514 SAINT PETER ST, SUITE 220, SAINT PAUL, MN 55102-1001
(651) 287-8781
(651) 287-8782
Mailing address
514 SAINT PETER ST, SUITE 220, SAINT PAUL, MN 55102-1001
(651) 287-8781
(651) 287-8782
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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