Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0300X | Geriatric Medicine | 25897 | MN |
Y | 207RH0002X | Hospice and Palliative Medicine | 25897 | MN |
NPI | 1306814991 |
---|---|
Provider Name | Victor M Sandler |
First Address | Bloomington, MN 55425-4516 |
Second Address | Minneapolis, MN 55407-3570 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 08/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A95039 | (02) | MN |
SV0665 | (02) | MN |