Individual
SARAH JABS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2600 KILEY WAY, PLYMOUTH, WI 53073-5020
(920) 449-7000
(920) 449-7221
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1971
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42883400
—
WI
Enumeration date
05/04/2006
Last updated
09/25/2023
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