# SAGE MEDICAL PROF LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588156657
- **Authorized official:** CHAD ROGER LAURICH M.D. (MEDICAL DIRECTOR, OWNER)
- **Authorized official phone:** (319) 430-9340

## Contact information

- **Practice address:** 345 W STEAMBOAT DR STE 701, DAKOTA DUNES, SD 57049-5287
- **Practice address phone:** (319) 430-9340
- **Mailing address:** 345 W STEAMBOAT DR STE 701, DAKOTA DUNES, SD 57049-5287
- **Mailing address phone:** (605) 217-3345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2018
- **Last updated:** 09/23/2025