Sweetser, Philip M

Sweetser, Philip M is an individual health care provider with primary practice located at 701 Park Ave O9, Minneapolis MN 55415-1623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sweetser, Philip M can be contacted via phone (612) 873-2811.

Contact Information

Primary practice address
701 Park Ave O9 Minneapolis MN 55415-1623
Phone: (612) 873-2811
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 45139 Minnesota

Profile Details

NPI number 1356378558
LBN Legal business name Sweetser, Philip M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1356378558 NPPES
Minnesota MEDICAID 176238900

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