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NPI Code Detail

MEDICARE: SARAH CHROSTOWSKI

MEDICARE: SARAH CHROSTOWSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramWI

General Provider Information

NPI Number : 1013461128
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH CHROSTOWSKI
Provider Business Mailing Address
First Line : 25 KESSEL CT
Second Line : STE 105
City : MADISON
State : WI
Zip : 53711-6227
Country : US
Telephone Number : 608-280-2700
Fax Number :
Provider Business Practice Location Address
First Line : 2000 FORDEM AVE
Second Line :
City : MADISON
State : WI
Zip : 53704-4600
Country : US
Telephone Number : 608-280-2740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2016
Last Update Date : 08/26/2016

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Directions to “ SARAH CHROSTOWSKI ” Practice Location

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