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NPI Code Detail

MEDICARE: SARAH E MILLER PA-C

MEDICARE: SARAH E MILLER PA-C
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
1363AM0700XMedical Physician Assistant2277-23WI
2363A00000XPhysician Assistant2277WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790948511
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH E MILLER PA-C
Provider Business Mailing Address
First Line : 342 N WATER ST STE 600
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-5715
Country : US
Telephone Number : 651-342-1039
Fax Number : 651-342-1428
Provider Business Practice Location Address
First Line : 342 N WATER ST STE 600
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-5715
Country : US
Telephone Number : 651-342-1039
Fax Number : 651-342-1428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2008
Last Update Date : 12/02/2025

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Directions to “ SARAH E MILLER PA-C” Practice Location

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