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Individual

MRS. SONYA R HOLLINGSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1703 N TAYLOR DR, SHEBOYGAN, WI 53081-1933
(920) 457-4438
(920) 457-6748
Mailing address
11430 N PORT WASHINGTON RD, MEQUON, WI 53092-3414
(263) 518-1900

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42726
MN
207Q00000X
Family Medicine Physician
Primary
49089-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34880300
WI
Enumeration date
08/18/2006
Last updated
10/07/2021
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