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Individual

SARA ANN FELDBRUGGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-4210
(218) 786-4639
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-4210
(218) 786-4639

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11059
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891066270
MN
05
1891066270
WI
Enumeration date
01/18/2012
Last updated
05/02/2012
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