Individual
TIFFANY SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3640 MIDDLEBURY RD, IOWA CITY, IA 52245-2712
(319) 467-6789
Mailing address
2978 WAGON WHEEL DR, IOWA CITY, IA 52240-9230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085657
IA
Other
Enumeration date
01/11/2017
Last updated
05/02/2018
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