MR. Jack Richard Sauer

NPI #1447839311 in Bemidji, Minnesota

Provider Information

NPI Number: 1447839311
Entity Type: Individual
Name: MR. Jack Richard Sauer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Apr 6, 2021
Last Updated: Jun 3, 2021

Practice Location

Address: 3622 MOBERG DR NW
City: Bemidji
State: Minnesota
ZIP Code: 56601-5644
Phone: (218) 751-4216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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