Individual
SADIE DEJAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2000
Mailing address
1506 S ONEIDA ST, APPLETON, WI 54915-1396
(920) 738-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5509-23
WI
Other
Enumeration date
06/14/2020
Last updated
07/01/2022
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