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Individual
SARA BORTSCHELLER
Active
Individual
SARA BORTSCHELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
000893
IA
207PS0010X
Sports Medicine (Emergency Medicine) Physician
2321
NC
2255A2300X
Athletic Trainer
Primary
0510
SD
Other
Enumeration date
09/07/2014
Last updated
10/09/2023
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