Individual
JENNIFER E SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16812 S MAIN ST, GALESVILLE, WI 54630
(608) 582-2025
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
691
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42967100
—
WI
Enumeration date
08/21/2006
Last updated
09/06/2018
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