Most Relevant Information
Provider Data
| NPI Number: | 1003229345 |
| Provider Name: | SADIE BOGNAR |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/04/2014 |
| Last Updated: | 01/24/2018 |
Provider Practice Location
2927 S. FISH HATCHERY ROAD
FITCHBURG
WI
53711
Practice Location Phone/Fax
| Phone: | 6088196394 |
| Fax: |
Provider Mailing Location
2927 S FISH HATCHERY RD
FITCHBURG
WI
537116498
Provider Mailing Phone/Fax
| Phone: | 6088196394 |
| Fax: |