Provider Demographics
NPI:1194754853
Name:MAZIG, SARAH ANNUNCIATA (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ANNUNCIATA
Last Name:MAZIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:651-254-3500
Mailing Address - Fax:
Practice Address - Street 1:2635 UNIVERSITY AVE SUITE 160 - MAIL STOP 36101A
Practice Address - Street 2:HEALTHPARTNERS REGIONS HEALTH CENTER FOR WOMEN
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1271
Practice Address - Country:US
Practice Address - Phone:651-254-3500
Practice Address - Fax:651-254-3699
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN44765207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN072L9MAOtherBCBS OF MN
MN171095OtherUCARE MN#
MN7805448OtherAETNA INS
MNHP37234OtherHEALTHPARTNERS
MN226978300Medicaid
MN0405082OtherMEDICA #
MN1754267OtherAMERICA'S PPO
MN1032943OtherPREFERRED ONE
MN7805448OtherAETNA INS
MN110245378Medicare ID - Type UnspecifiedMEDICARE RR
MN072L9MAOtherBCBS OF MN