MARY T SALLSTROM

MINNEAPOLIS, MN
NPI1982031571
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN  R193258-8)
Enumeration Date2013-09-27
Last Update Date2013-09-27
Business Address
-- MARY T SALLSTROM CPNP
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone number: 612-365-6777
Mailing Address
-- MARY T SALLSTROM CPNP
420 DELAWARE ST SE MMC 366 (PEDS BMT)
MINNEAPOLIS, MN 55455-0341
Phone number: 612-365-6777