Individual
MRS. MARIA LYNN SONNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2710 NORTH DODGE SUITE 1, IOWA CITY, IA 52245
(319) 400-1311
(319) 575-6025
Mailing address
2710 NORTH DODGE SUITE 1, IOWA CITY, IA 52245
(319) 400-1311
(319) 575-6025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
075152
IA
363AM0700X
Medical Physician Assistant
Primary
075152
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1113784
—
IA
Enumeration date
08/21/2014
Last updated
02/08/2021
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