Individual
SARAH BETH COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
715 S 8TH ST, MINNEAPOLIS, MN 55404-1210
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477139723
—
MN
Enumeration date
03/18/2021
Last updated
05/08/2024
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