Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 29882 | MN |
NPI | 1023126166 |
---|---|
Provider Name | Dr. Alan E. Sadowsky |
First Address | Fridley, MN 55432-4341 |
Second Address | Fridley, MN 55432-4946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0812945 | MEDICA (01) | MN |
08F93SA | BCBS OF MN (01) | MN |
1000864 | PREFERRED ONE (01) | MN |
107317 | UCARE MN (01) | MN |
23429 | AMERICA'S PPO (01) | MN |
4033018 | AETNA INS (01) | MN |
A94351 | (02) | MN |
HP19899 | HEALTHPARTNERS (01) | MN |