Engwall, Sandra S

Engwall, Sandra S is an individual health care provider with primary practice located at 6845 Lee Ave N - Mail Stop 31400A Healthpartners Brooklyn Center Clinic, Brooklyn Center MN 55429-1717. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Engwall, Sandra S can be contacted via phone (763) 503-4400.

Contact Information

Primary practice address
6845 Lee Ave N - Mail Stop 31400A Healthpartners Brooklyn Center Clinic Brooklyn Center MN 55429-1717
Phone: (763) 503-4400
Fax: (763) 503-4395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 27983 Minnesota

Profile Details

NPI number 1396718250
LBN Legal business name Engwall, Sandra S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Dec 14th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396718250 NPPES
Minnesota MEDICAID 729880300
Minnesota Other 27,983

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