Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 002523 | IA |
NPI | 1013204924 |
---|---|
Provider Name | Dr. Sarah A Sliwinski |
First Address | Burlington, IA 52601-1754 |
Second Address | Burlington, IA 52601-1754 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2011 |
Last Update Date | 02/11/2016 |