Individual
DR. SARAH JANE HENNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3066 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7299
(907) 357-9590
Mailing address
3066 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7299
(907) 357-9590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49139-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD8536
—
AK
Enumeration date
09/15/2006
Last updated
10/11/2011
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