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NPI Code Detail

MEDICARE: SARA MARY GRIESER

MEDICARE: SARA MARY GRIESER
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
1163W00000XRegistered Nurse2465459MN

General Provider Information

NPI Number : 1043477664
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA MARY GRIESER
Provider Business Mailing Address
First Line : 17844 145TH AVE
Second Line :
City : MILACA
State : MN
Zip : 56353-3217
Country : US
Telephone Number : 320-241-6512
Fax Number :
Provider Business Practice Location Address
First Line : 722 NW 7TH ST
Second Line :
City : BRAINERD
State : MN
Zip : 56401-2912
Country : US
Telephone Number : 218-855-1115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2008
Last Update Date : 09/02/2025

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Directions to “ SARA MARY GRIESER ” Practice Location

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