Individual
SARAH GENHEIMER BODDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2318 WILLARD AVE, MADISON, WI 53704-5644
(000) 000-0000
Mailing address
2318 WILLARD AVE, MADISON, WI 53704-5644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3293-23
WI
Other
Enumeration date
01/18/2011
Last updated
06/29/2021
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