MEDICARE: SARAH DOPPLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1083318265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH DOPPLER

Provider Business Mailing Address
First Line	:	1803 BRYANT AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-3212
Country	:	US
Telephone Number	:	507-441-1887
Fax Number	:

Provider Business Practice Location Address
First Line	:	1803 BRYANT AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-3212
Country	:	US
Telephone Number	:	507-441-1887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	03/30/2023

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Directions to “ SARAH DOPPLER ” Practice Location

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