Individual
SARAH TALBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
Mailing address
500 S. MAPLE ST, WACONIA, MN 55387
(952) 442-2191
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11857
MN
Other
Enumeration date
08/14/2014
Last updated
10/29/2015
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