Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | 105960 | MN |
Y | 225XE1200X | Ergonomics | 105960 | MN |
N | 2251E1200X | Ergonomics | 5688 | MN |
N | 225XE1200X | Ergonomics | 5688 | MN |
NPI | 1295209526 |
---|---|
Provider Name | Morgan Jo Sanken |
First Address | Eagan, MN 55123-4000 |
Second Address | Eagan, MN 55121-1372 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2019 |
Last Update Date | 15/04/2019 |