Provider Demographics
NPI:1588856413
Name:MEYERS, SARAH ELISABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ELISABETH
Last Name:MEYERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:501 N COLUMBIA RD
Mailing Address - Street 2:PO BOX 9037
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58203-2817
Mailing Address - Country:US
Mailing Address - Phone:701-777-2037
Mailing Address - Fax:701-777-3108
Practice Address - Street 1:501 N COLUMBIA RD
Practice Address - Street 2:STOP 9037
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58203-2817
Practice Address - Country:US
Practice Address - Phone:701-777-1200
Practice Address - Fax:701-777-3108
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN20452207ZP0102X
MN54524207ZP0102X, 207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology