Provider Demographics
NPI:1205302999
Name:TOMANN, SARAH MARIE
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MARIE
Last Name:TOMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MARIE
Other - Last Name:DOMBRORSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3091 212TH AVENUE NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR
Mailing Address - State:MN
Mailing Address - Zip Code:55011
Mailing Address - Country:US
Mailing Address - Phone:763-688-3998
Mailing Address - Fax:
Practice Address - Street 1:6401 FRANCE AVENUE S
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435
Practice Address - Country:US
Practice Address - Phone:952-924-5185
Practice Address - Fax:952-924-1549
Is Sole Proprietor?:No
Enumeration Date:2018-10-19
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MN124971367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program