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Individual

SANDRA M HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2720 PLAZA DR STE 1300, WAUSAU, WI 54401-4165
(715) 847-2630
Mailing address
2249 BLUE SKY WAY, KRONENWETTER, WI 54455-1886

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17457
WI

Other

Enumeration date
10/30/2025
Last updated
10/30/2025
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