Organization
SAGE MEDICAL PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ROGER LAURICH M.D. (MEDICAL DIRECTOR, OWNER)
(319) 430-9340
Entity
Organization
Contact information
Practice address
345 W STEAMBOAT DR STE 701, DAKOTA DUNES, SD 57049-5287
(319) 430-9340
Mailing address
345 W STEAMBOAT DR STE 701, DAKOTA DUNES, SD 57049-5287
(605) 217-3345
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7960
STATE LICENSE
SD
Enumeration date
06/04/2018
Last updated
09/23/2025
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