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HOLLY DORN SAPA
NPI 1619490786
Clinic/Center in Menasha, WI

Active since July 20, 2017
1125 WITTMANN DR, MENASHA, WI 54952(920) 558-3600(920) 997-8170 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 20, 2017 (2 updates tracked since 2017).

About Holly Dorn Sapa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY DORN SAPA (NPI 1619490786) is an individual clinic/center provider in Menasha, Wisconsin and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1619490786
Entity TypeIndividualFemale
Primary Taxonomy261Q00000X
Provider Legal NameHOLLY DORNCredential: SAPA
Location Address1125 WITTMANN DRMenasha, WI 54952-3607
Mailing Address1125 Wittmann DrMenasha, WI 54952-3607 · (920) 558-3600 · Fax (920) 997-8170
Phone(920) 558-3600
Fax(920) 997-8170
Sole ProprietorYes
Enumeration DateJuly 20, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1619490786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1125 WITTMANN DR, Menasha, WI 54952
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WESTSCOT G KRIEGER MD
Specialist
1125 WITTMANN DR
MENASHA, WI 54952
Calumet County (920) 428-6080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Dorn's NPI number?

The NPI number for Holly Dorn is 1619490786. It was assigned to this individual provider in the NPPES registry on July 20, 2017.

Where is Holly Dorn located?

Holly Dorn practices at 1125 Wittmann Dr, Menasha, WI 54952. The listed phone number is (920) 558-3600.

What is Holly Dorn's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Holly Dorn was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.