Individual
SARA FORMANKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 N DEWEY AVE, REEDSBURG, WI 53959-1049
(608) 768-3900
Mailing address
2000 N DEWEY AVE, REEDSBURG, WI 53959-1049
(608) 768-3900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3930
WI
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
03/10/2023
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