Provider Demographics
NPI:1356230684
Name:SAKAMOTO, MARISABEL
Entity type:Individual
Prefix:
First Name:MARISABEL
Middle Name:
Last Name:SAKAMOTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 237
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MN
Mailing Address - Zip Code:55334-0237
Mailing Address - Country:US
Mailing Address - Phone:507-237-4000
Mailing Address - Fax:507-237-4031
Practice Address - Street 1:111 8TH ST
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MN
Practice Address - Zip Code:55334-4421
Practice Address - Country:US
Practice Address - Phone:507-237-4000
Practice Address - Fax:507-237-4031
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker