Mijal, Sara Ann
Mijal, Sara Ann is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Mijal, Sara Ann can be contacted via phone (608) 263-7502.Contact Information
Primary practice address
600 Highland Ave
Madison WI 53792-0001
Phone: (608) 263-7502
Fax: (608) 263-7652
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036135686 | Illinois |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 52433 | Wisconsin |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 036135686 | Illinois |
Profile Details
NPI number | 1720107261 |
---|---|
LBN Legal business name | Mijal, Sara Ann |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2007 |
Last updated | Jan 26th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720107261 | NPPES |
Wisconsin | MEDICAID | 1720107261 | |
Wisconsin | MEDICAID | 036135686 | |
Wisconsin | Other | 036135686 |
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