Provider Demographics
NPI:1649245044
Name:SADLER, MALIN A (MD)
Entity Type:Individual
Prefix:DR
First Name:MALIN
Middle Name:A
Last Name:SADLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:LEAD
Mailing Address - State:SD
Mailing Address - Zip Code:57754-1612
Mailing Address - Country:US
Mailing Address - Phone:605-580-0949
Mailing Address - Fax:
Practice Address - Street 1:181 FRANKLIN HEALTH COMMONS
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938
Practice Address - Country:US
Practice Address - Phone:605-580-0949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD25344207Q00000X
CO51453207Q00000X
NC200200592207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC131JKOtherBCBS NUMBER
NC5146652OtherAETNA - NON HMO
NCB5871OtherMEDCOST
NC2943869OtherAETNA - HMO
NC0102633OtherUNITED HEALTHCARE NUMBER
NC242989OtherMAMSI
NC801184OtherPARTNERS MEDICARE CHOICE
NC89131JKMedicaid
NC2666625001OtherCIGNA NUMBER
NC080189812OtherRAILROAD MEDICARE NUMBER
NC242989OtherMAMSI
NC131JKOtherBCBS NUMBER