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SARAH RUTH LAWSON PATET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-4786
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-5427
(612) 925-6033
(612) 925-8496

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9538
MN
363AM0700X
Medical Physician Assistant
9538
MN
363AS0400X
Surgical Physician Assistant
9538
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770546046
MN
01
970003438
MEDICARE PROVIDER NUMBER
MN
01
P00653132
RAILROAD MEDICARE
MN
Enumeration date
04/08/2006
Last updated
05/16/2024
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