Provider Demographics
NPI:1467875104
Name:REICHERT, SARA (MPH MS)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:REICHERT
Suffix:
Gender:F
Credentials:MPH MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 SMITH AVE N
Mailing Address - Street 2:GARDEN VIEW MEDICAL BUILDING 3RD FLOOR
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2387
Mailing Address - Country:US
Mailing Address - Phone:651-220-6159
Mailing Address - Fax:612-813-6360
Practice Address - Street 1:347 SMITH AVE N
Practice Address - Street 2:GARDEN VIEW MEDICAL BUILDING 3RD FLOOR
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2387
Practice Address - Country:US
Practice Address - Phone:651-220-6159
Practice Address - Fax:612-813-6360
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS