Male or Other

David J. Sanderson MD

Family Medicine Physician in Fergus Falls, MN(View on Map)

Full Name

David J Sanderson MD

NPI Number

1801996715

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/22/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

21639

Contact
Information

Purpose

Mailing
Location

Address

712 SOUTH CASCADE STREET
712 SOUTH CASCADE STREET

City

Fergus Falls
Fergus Falls

State

MN
MN

Postal Code

56537-2813
56537-2813

Country

US
US

Telephone Number

(218) 736-8000
(218) 736-8000

Identifiers

Identifier

107116
147662401
0967679
HP26725
0159499
01-23706
265283800
1008797
62780SA
Unknown
Unknown
Unknown

Identifier State

MN
TX
IA
MN
WA
MN
MN
MN
MN
Unknown
Unknown
Unknown

Identifier Issuer

UCAREMN
Unknown
Unknown
HEALTHPARTNERS
Unknown
MEDICABLC
Unknown
PREFERREDONE
BCBS
Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2010

Provider Address

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