Individual provider · Type 1 NPI
Sandra Louise Hyvarinen Davenport, MD
Clinical Genetics (M.D.) Physician · Bloomington, MN
NPI number
1912044918
Active
Practice location
6109 W 105th St
Bloomington, MN 55438-1833
Fax (952) 831-0381
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Genetics (M.D.) Physician Primary | 207SG0201X | 29543 (MN) |
| Pediatrics Physician | 208000000X | 29543 (MN) |
Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
About NPI 1912044918
Sandra Louise Hyvarinen Davenport, MD's National Provider Identifier is 1912044918, issued on Jan 30, 2007. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Bloomington, MN. The record was last updated on Sep 17, 2013.