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Individual

SARA ANN PANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
36321 MAIN ST, WHITEHALL, WI 54773-9186
(715) 538-2333
(715) 538-2429
Mailing address
PO BOX 486, WHITEHALL, WI 54773-0486
(715) 538-2333
(715) 538-2429

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4149-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38963700
WI
Enumeration date
06/10/2006
Last updated
03/29/2012
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