Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | M2075 | TX |
N | 2080P0210X | Pediatric Nephrologist | 1154 | SC |
Y | 2080P0210X | Pediatric Nephrologist | 58673 | MN |
NPI | 1922067776 |
---|---|
Provider Name | Dr. David J Sas |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 20/08/2020 |