Sara Formankiewicz, PA-C

NPI #1467902874 in Reedsburg, Wisconsin

Provider Information

NPI Number: 1467902874
Entity Type: Individual
Name: Sara Formankiewicz, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 10, 2016
Last Updated: Mar 10, 2023

Practice Location

Address: 2000 N DEWEY AVE
City: Reedsburg
State: Wisconsin
ZIP Code: 53959-1049
Phone: (608) 768-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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