Individual
DR. SARAH C KRIETLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
200 PIONEER TRL STE 108, CHASKA, MN 55318-1169
(612) 386-2001
Mailing address
106 PIONEER TRL, CHASKA, MN 55318-1167
(952) 368-2325
(952) 368-2328
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2805
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121037
EYEMED
MN
01
—
131452
UCARE
MN
01
—
147RICH
BLUE CROSS BLUE SHIELD
MN
01
—
2201475
MEDICA
MN
01
—
736100900
MN CARE
MN
01
—
847271028812
PREFERRED ONE
MN
01
—
921871028812
PREFERRED ONE
MN
01
—
HP35760
HEALTHPARTNERS
MN
Enumeration date
09/28/2006
Last updated
10/25/2018
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