MEDICARE: TINA M. SAUERHAMMER M.D.

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
1	208600000X	Surgery Physician	48898	WI

General Provider Information

NPI Number	:	1194768309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINA M. SAUERHAMMER M.D.

Provider Business Mailing Address
First Line	:	2200 DICKINSON RD UNIT 17B
Second Line	:
City	:	DE PERE
State	:	WI
Zip	:	54115-4070
Country	:	US
Telephone Number	:	920-965-1234
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 E ENTERPRISE AVE STE A
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54913-7656
Country	:	US
Telephone Number	:	920-965-1234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	04/27/2022

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