Individual
SARA MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
1807 WILLIAMS ST, STURGIS, SD 57785-1142
(605) 347-3003
Mailing address
1807 WILLIAMS ST, STURGIS, SD 57785-1142
(605) 347-3003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12091544
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466036107
—
SD
Enumeration date
08/02/2016
Last updated
08/02/2016
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