Basic Information
| Provider Information | |||||||||
| NPI: | 1285075325 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | WACHTER | ||||||||
| FirstName: | SARAH | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1250 E. MARSHALL STREET | ||||||||
| Address2: | ANES: ANESTHESIOLOGY POB 980459 | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232980459 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8048280733 | ||||||||
| FaxNumber: | 8048288682 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 HARVARD ST SE | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554550363 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6126727000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2013 | ||||||||
| LastUpdateDate: | 11/14/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | D85986 | MD | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 010257663 | VA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 65411 | MN | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.