Provider Demographics
NPI:1972505246
Name:KRATZ, SARAH L (MD)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:L
Last Name:KRATZ
Suffix:
Gender:
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:PO BOX 206
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55480-0206
Mailing Address - Country:US
Mailing Address - Phone:612-262-9000
Mailing Address - Fax:
Practice Address - Street 1:800 E 28TH ST STE 401
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-3723
Practice Address - Country:US
Practice Address - Phone:612-863-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN60260207RH0003X, 207RX0202X, 207RH0003X
AZ37689207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC56-2217537OtherEIN
NC011THOtherBC/BS GROUP NUMBER
AZ37689OtherAZ STATE LICENSE NUMBER
AZ281066OtherAHCCCS NUMBER
NC89011THMedicaid
NC2344708Medicare ID - Type UnspecifiedGROUP NUMBER
NC011THOtherBC/BS GROUP NUMBER