Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 37679 | MN |
NPI | 1285664011 |
---|---|
Provider Name | Steven R Sabers |
First Address | Woodbury, MN 55125-4925 |
Second Address | Plymouth, MN 55446-3675 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 15/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
764223700 | (05) | MN |
H400257691 | (02) | MN |