Provider Demographics
NPI:1821420647
Name:SAUER, TAMI LYNN (CPT)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:LYNN
Last Name:SAUER
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 PARTRIDGE AVE S
Mailing Address - Street 2:
Mailing Address - City:GLYNDON
Mailing Address - State:MN
Mailing Address - Zip Code:56547-4311
Mailing Address - Country:US
Mailing Address - Phone:218-498-2406
Mailing Address - Fax:
Practice Address - Street 1:420 PARTRIDGE AVE S
Practice Address - Street 2:
Practice Address - City:GLYNDON
Practice Address - State:MN
Practice Address - Zip Code:56547-4311
Practice Address - Country:US
Practice Address - Phone:218-498-2406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist