Dr. Sandy Popham
Nephrologist
1001 E Superior St Ste L201
Duluth
, Minnesota 55802-2207
Dr. Sandy Popham
Nephrologist
1001 E Superior St Ste L201
Duluth
, Minnesota 55802-2207
(218) 249-7911
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Sandy Popham
- 1001 E Superior St Ste L201
- Duluth, MN
- Zip : 55802-2207
- Fax : (218) 249-7911
- Phone : (218) 249-7980
Second Address
- Dr. Sandy Popham
- 1001 E Superior St Ste L201
- Duluth, MN
- Zip : 55802-2207
- Fax : (218) 249-7911
- Phone : (218) 249-7980
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 35304 | MN |
National Provider Identifier
| NPI | 1043269228 |
|---|---|
| Provider Name | Dr. Sandy Popham |
| First Address | Duluth, MN 55802-2207 |
| Second Address | Duluth, MN 55802-2207 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2006 |
| Last Update Date | 20/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 04N96P0 | BLUE CROSS BLUE SHIELD (01) | MN |
| 3100318 | MEDICA (01) | MN |
| 32439700 | (05) | WI |
| 476323800 | (05) | MN |
| G69903 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.