D'Autremont, Sloan W

D'Autremont, Sloan W is an individual health care provider with primary practice located at 1313 Penn Ave N , Minneapolis MN 55411-3047. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. D'Autremont, Sloan W can be contacted via phone (612) 543-2500.

Contact Information

Primary practice address
1313 Penn Ave N Minneapolis MN 55411-3047
Phone: (612) 543-2500
Fax: (612) 302-4870
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 37931 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37931 Minnesota

Profile Details

NPI number 1235174525
LBN Legal business name D'Autremont, Sloan W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Mar 12th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235174525 NPPES
Minnesota MEDICAID 751725400

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