| Organization Name: | MARY E. SANDERS |
| NPI Number: | 1255740601 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY ELIZABETH SANDERS (LIC MARRIAGE AND FAMILY THERAPAPIST) |
| Mailing Address: | 1000 County Road E W Suite 142 Shoreview |
| State: | MN US |
| Postal Code: | 551268054 |
| Phone Number: | 6514020618 |
| Fax Number: | |
| NPI Enumeration Date: | 08/11/2014 |
| NPI Last Update Date: | 03/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 1787 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |