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NPI Code Detail

MEDICARE: DR. ANDREA MARIE SATERBAK MD

MEDICARE: DR. ANDREA MARIE SATERBAK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician39819WI
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician40804MN
3207X00000XOrthopaedic Surgery Physician39819WI
4207X00000XOrthopaedic Surgery Physician40804MN

General Provider Information

NPI Number : 1184620858
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREA MARIE SATERBAK MD
Provider Business Mailing Address
First Line : 5803 NEAL AVE N
Second Line :
City : OAK PARK HEIGHTS
State : MN
Zip : 55082-2177
Country : US
Telephone Number : 651-439-8807
Fax Number : 651-439-0232
Provider Business Practice Location Address
First Line : 5803 NEAL AVE N
Second Line :
City : OAK PARK HEIGHTS
State : MN
Zip : 55082-2177
Country : US
Telephone Number : 651-439-8807
Fax Number : 651-439-0232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 08/16/2024

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