Provider Demographics
NPI:1588998173
Name:WEIK, SARA (CD (DONA))
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:WEIK
Suffix:
Gender:F
Credentials:CD (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 COUNTY ROAD 4
Mailing Address - Street 2:
Mailing Address - City:WRENSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:55797-9129
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:539 COUNTY ROAD 4
Practice Address - Street 2:
Practice Address - City:WRENSHALL
Practice Address - State:MN
Practice Address - Zip Code:55797-9129
Practice Address - Country:US
Practice Address - Phone:218-839-0189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5468374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula