Individual
ANGELA M SORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-2431
Mailing address
250 26TH ST, PRAIRIE DU SAC, WI 53578-2204
(608) 643-2431
(608) 643-0048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8209-33
WI
Other
Enumeration date
01/17/2018
Last updated
03/24/2021
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