Individual
MRS. MARIANNA V SIERACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 929-2300
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3334
WI
Other
Enumeration date
06/23/2014
Last updated
06/04/2024
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