Provider Demographics
NPI:1053571109
Name:SANN, KATE M (MD)
Entity type:Individual
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First Name:KATE
Middle Name:M
Last Name:SANN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:8170 33RD AVE S # MS 21110Q
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:763-587-4800
Mailing Address - Fax:763-587-4885
Practice Address - Street 1:530 3RD ST NW
Practice Address - Street 2:RIVERWAY CLINIC-ELK RIVER-MAIL STOP 39400A
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-8863
Practice Address - Country:US
Practice Address - Phone:763-587-4800
Practice Address - Fax:763-587-4885
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2019-11-01
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Provider Licenses
StateLicense IDTaxonomies
IAR-8309207Q00000X
MN53747207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine