Search › Minnesota › 207SG0201X
Sandra Davenport, M.D
NPI 1912044918 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6109 W 105th St
Bloomington, MN 55438 - Phone
- (952) 831-5522
- Fax
- (952) 831-0381
Registry record
- Primary taxonomy
- 207SG0201X
207SG0201X
- Also registered as
- 208000000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota