Individual
SARAH JEAN POLCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
Mailing address
1200 SIXTH AVE NE, ST CLOUD, MN 56303-2735
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101019573
MI
207R00000X
Internal Medicine Physician
57458
MN
208M00000X
Hospitalist Physician
Primary
57458
MN
390200000X
Student in an Organized Health Care Education/Training Program
5101019573
MI
Other
Enumeration date
06/29/2011
Last updated
10/30/2015
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