Healthcare Provider Details

I. General information

NPI: 1124380803
Provider Name (Legal Business Name): SARAH L. HOLETS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2012
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 N MEADE ST
APPLETON WI
54911-3454
US

IV. Provider business mailing address

N3708 RIVER AVE
NEILLSVILLE WI
54456-7218
US

V. Phone/Fax

Practice location:
  • Phone: 920-358-1488
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number62839
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number62839
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: