Individual
SARA LOUISE HOLSATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15700 37TH AVE N STE 300, PLYMOUTH, MN 55446-3661
(612) 871-1145
(612) 870-5491
Mailing address
9855 HOSPITAL DR, SUITE 102B, MAPLE GROVE, MN 55369-4648
(763) 581-5900
(763) 581-5901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1767
MN
363AM0700X
Medical Physician Assistant
Primary
11176
MN
Other
Enumeration date
07/18/2012
Last updated
07/17/2019
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