Healthcare Provider Details

I. General information

NPI: 1750365904
Provider Name (Legal Business Name): SHEILA ANNE FLYNN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 OAKDALE AVE N
ROBBINSDALE MN
55422-2926
US

IV. Provider business mailing address

1835 WEST COUNTY ROAD C
ROSEVILLE MN
55113-1304
US

V. Phone/Fax

Practice location:
  • Phone: 763-581-3689
  • Fax: 763-581-3688
Mailing address:
  • Phone: 763-785-4300
  • Fax: 763-785-3314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number43391
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: