Individual
SARA KOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4190 VINEWOOD LN N STE 107, PLYMOUTH, MN 55442-1771
(651) 283-6011
Mailing address
16501 77TH CIR N, MAPLE GROVE, MN 55311-3734
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
1594
MN
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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