Provider Demographics
NPI:1831366079
Name:SAAD, CLAIRE A MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:A MICHAEL
Last Name:SAAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15245 BLUEBIRD ST NW
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MN
Mailing Address - Zip Code:55304-3538
Mailing Address - Country:US
Mailing Address - Phone:763-587-4600
Mailing Address - Fax:763-587-4615
Practice Address - Street 1:15245 BLUEBIRD ST NW
Practice Address - Street 2:RIVERWAY CLINIC-ANDOVER
Practice Address - City:ANDOVER
Practice Address - State:MN
Practice Address - Zip Code:55304-3554
Practice Address - Country:US
Practice Address - Phone:763-587-4600
Practice Address - Fax:763-587-4615
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MN50130207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN18644OtherRESIDENT PERMIT
MN50130OtherMEDICAL LICENSE