Individual
PETER CARL SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 S MAPLE ST, SUITE 200, WACONIA, MN 55387-1733
(952) 442-2163
(952) 442-5903
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
55155
MN
Other
Enumeration date
07/27/2009
Last updated
09/25/2012
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