Individual
SARAH A MODRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 BANDANA BLVD E STE 100, SAINT PAUL, MN 55108-5109
(651) 241-9700
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14961
MN
Other
Enumeration date
03/28/2023
Last updated
09/18/2024
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