Provider Demographics
NPI:1073074993
Name:SAUERS, SARAH (PA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SAUERS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2669 W REGIMENTAL AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MCCOY
Mailing Address - State:WI
Mailing Address - Zip Code:54656-5229
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2669 W REGIMENTAL AVE
Practice Address - Street 2:
Practice Address - City:FORT MCCOY
Practice Address - State:WI
Practice Address - Zip Code:54656-5229
Practice Address - Country:US
Practice Address - Phone:608-388-6026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA16629363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant