| NPI | 1770697856 |
|---|---|
| Former Name | SONYA B REDETZKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 49089-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 42726) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-10-07 |