Individual
MS. SHARON LYNN BOLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14490 E FOX LAKE RD, DETROIT LAKES, MN 56501-7111
(218) 844-2295
Mailing address
14490 E FOX LAKE RD, DETROIT LAKES, MN 56501-7111
(218) 844-2295
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11331
MN
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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