Most Relevant Information
Provider Data
| NPI Number: | 1003339573 |
| Provider Name: | SHARON LYNN BOLAR PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 11331 |
Most Important Dates
| Enumeration Date: | 07/17/2017 |
| Last Updated: | 07/17/2017 |
Provider Practice Location
14490 E FOX LAKE RD
DETROIT LAKES
MN
565017111
Practice Location Phone/Fax
| Phone: | 2188442295 |
| Fax: |
Provider Mailing Location
14490 E FOX LAKE RD
DETROIT LAKES
MN
565017111
Provider Mailing Phone/Fax
| Phone: | 2188442295 |
| Fax: |