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NPI Code Detail

MEDICARE: SARA J RYBARCZYK MD

MEDICARE: SARA J RYBARCZYK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician39235IA
2207R00000XInternal Medicine Physician35794WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497759070
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA J RYBARCZYK MD
Provider Business Mailing Address
First Line : 800 COMPASSION WAY
Second Line :
City : DODGEVILLE
State : WI
Zip : 53533-1956
Country : US
Telephone Number : 608-930-8000
Fax Number :
Provider Business Practice Location Address
First Line : 800 COMPASSION WAY
Second Line :
City : DODGEVILLE
State : WI
Zip : 53533-1956
Country : US
Telephone Number : 608-930-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 12/28/2020

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