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Contact Information

SARA KOSS
4190 VINEWOOD LN N STE 107
PLYMOUTH, MN55442-1771
 Phone: 651-283-6011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for SARA KOSS · (Female)

NPI # 1891440764
Status Active
Credentials
Entity Individual
Enumeration date 02/18/2022
Last updated 02/18/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 1594
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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