Individual
JAIA SOJKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 FORREST DR, WATERFORD, WI 53185-4577
(262) 514-8142
Mailing address
818 FORREST DR, WATERFORD, WI 53185-4577
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2270-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42003700
—
WI
Enumeration date
06/23/2008
Last updated
04/05/2010
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