Provider Demographics
NPI:1558534990
Name:NICOLAI, SARAH MARGARET (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MARGARET
Last Name:NICOLAI
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS 21110Q
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:401 PHALEN BLVD
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-5302
Practice Address - Country:US
Practice Address - Phone:651-254-7560
Practice Address - Fax:651-254-7564
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2021-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN58140207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology