Healthcare Provider Details
I. General information
NPI: 1578099545
Provider Name (Legal Business Name): SADE MARIE BELL FINN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/11/2017
Last Update Date: 06/04/2020
Certification Date: 06/04/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
640 JACKSON ST
SAINT PAUL MN
55101-2502
US
IV. Provider business mailing address
420 DELAWARE ST SE MMC 195
MINNEAPOLIS MN
55455-0341
US
V. Phone/Fax
- Phone: 651-495-6603
- Fax: 651-254-3123
- Phone: 612-625-6483
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 67203 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: