Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 18348 | FL |
Y | 207W00000X | Ophthalmologist | 62456 | MN |
N | 207W00000X | Ophthalmologist | MD54237 | TN |
NPI | 1023374964 |
---|---|
Provider Name | Sasha Strul |
First Address | Minneapolis, MN 55454-1443 |
Second Address | Minneapolis, MN 55454-1443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2012 |
Last Update Date | 01/08/2017 |