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Individual

SARA GRACE HOLMBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
403 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6800
Mailing address
504 MC CUTCHEON RD, HUDSON, WI 54016-7009
(715) 386-4052

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7900
WI
363LA2200X
Adult Health Nurse Practitioner
R 179752-9
MN

Other

Enumeration date
07/17/2012
Last updated
05/12/2020
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