Provider Demographics
NPI:1215969159
Name:WALSKI-EASTON, SABRINA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:MARIE
Last Name:WALSKI-EASTON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:800 E 28TH ST
Mailing Address - Street 2:305 PIPER BLDG.
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-3723
Mailing Address - Country:US
Mailing Address - Phone:612-871-7278
Mailing Address - Fax:612-879-7189
Practice Address - Street 1:6545 FRANCE AVE S
Practice Address - Street 2:681 SOUTHDALE MEDICAL BLDG.
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2131
Practice Address - Country:US
Practice Address - Phone:612-926-2711
Practice Address - Fax:612-926-0112
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN44621207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN44621OtherMD LICENSE
IA0446294Medicaid
MNI12653Medicare UPIN