Individual
SARAH MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7348
Mailing address
800 E 28TH ST # MR 11112, MINNEAPOLIS, MN 55407-3723
(612) 863-6590
(612) 863-5247
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
64689
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2016
Last updated
04/26/2019
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