NPI 1003339573

Sharon Lynn Bolar, PAC

Practitioner Physician Assistant Detroit Lakes, MN

Practice location

Address: 14490 E Fox Lake Rd, Detroit Lakes, MN 56501-7111
Phone: (218) 844-2295

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 11331 (MN)

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Registry record

NPI: 1003339573
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2017
Record last updated: 17 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.