Stover, Sandra L

Stover, Sandra L is an individual health care provider with primary practice located at 330 N 8Th Ave E , Duluth MN 55805-2024. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Stover, Sandra L can be contacted via phone (218) 723-1112.

Contact Information

Primary practice address
330 N 8Th Ave E Duluth MN 55805-2024
Phone: (218) 723-1112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 31998 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31998 Minnesota

Profile Details

NPI number 1346218971
LBN Legal business name Stover, Sandra L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Apr 17th, 2020 - about 6 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 1346218971 NPPES
Minnesota Other 926741014026 PREFERRED
Minnesota Other 80966ST PREFERRED
Minnesota MEDICAID 785090500 PREFERRED

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