Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 281889 | NY |
Y | 207KA0200X | Allergist | 63961 | MN |
N | 208000000X | Pediatrician | 281889 | NY |
NPI | 1548550916 |
---|---|
Provider Name | Dr. Britta Sundquist |
First Address | Edina, MN 55435-5660 |
Second Address | Edina, MN 55435 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 20/09/2018 |