MEDICARE: DR. LOUIS A SAGERT M.D.

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	207R00000X	Internal Medicine Physician	25374	MN

General Provider Information

NPI Number	:	1255607321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS A SAGERT M.D.

Provider Business Mailing Address
First Line	:	497 CURFEW ST
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-4912
Country	:	US
Telephone Number	:	651-646-7794
Fax Number	:	651-646-2905

Provider Business Practice Location Address
First Line	:	497 CURFEW ST
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-4912
Country	:	US
Telephone Number	:	651-646-7794
Fax Number	:	651-646-2905

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

Provider Enumeration Date	:	03/22/2012
Last Update Date	:	03/22/2012

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