Provider Demographics
NPI:1558944264
Name:GAMOKE, SARAH ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ANNE
Last Name:GAMOKE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14859 ENERGY WAY
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-5763
Mailing Address - Country:US
Mailing Address - Phone:952-432-3333
Mailing Address - Fax:
Practice Address - Street 1:14859 ENERGY WAY
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-5763
Practice Address - Country:US
Practice Address - Phone:952-432-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6851111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor