Individual
MICHAEL JOHN SERMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
606 RIVER PL, MONONA, WI 53716-4034
(608) 233-2378
(608) 233-2375
Mailing address
606 RIVER PL, MONONA, WI 53716-4034
(608) 233-2378
(208) 233-2375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8231-23
WI
363A00000X
Physician Assistant
PA1764
ID
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/16/2012
Last updated
02/12/2025
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