Provider Demographics
NPI:1841514734
Name:POLLEY, SARA JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:JEAN
Last Name:POLLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5333 EWING AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55410-2012
Mailing Address - Country:US
Mailing Address - Phone:516-216-3554
Mailing Address - Fax:
Practice Address - Street 1:5995 OREN AVE N STE 203
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-6379
Practice Address - Country:US
Practice Address - Phone:651-217-1480
Practice Address - Fax:833-972-5926
Is Sole Proprietor?:No
Enumeration Date:2010-03-21
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN597822084A0401X, 2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry