Provider Demographics
NPI:1255607321
Name:SAGERT, LOUIS A (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:A
Last Name:SAGERT
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 1:497 CURFEW ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4912
Mailing Address - Country:US
Mailing Address - Phone:651-646-7794
Mailing Address - Fax:651-646-2905
Practice Address - Street 1:497 CURFEW ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4912
Practice Address - Country:US
Practice Address - Phone:651-646-7794
Practice Address - Fax:651-646-2905
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN25374207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine