Individual
SARA MARIE BJORKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4600 W LOOMIS RD, #201, GREENFIELD, WI 53220
(414) 908-6500
(414) 908-6515
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(003) 262-2508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2950-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100044515
—
WI
Enumeration date
07/05/2012
Last updated
05/14/2024
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