Healthcare Provider Details

I. General information

NPI: 1598927485
Provider Name (Legal Business Name): AMBER SADENWATER WOLSIEFER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER MARIE SADENWATER B.S.

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 09/30/2022
Certification Date: 09/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11201 GUY ST
FISHERS IN
46038-5453
US

IV. Provider business mailing address

1100 REID PKWY MEDICAL STAFF SERVICES
RICHMOND IN
47374-1157
US

V. Phone/Fax

Practice location:
  • Phone: 812-320-1959
  • Fax: 812-320-1959
Mailing address:
  • Phone: 765-935-8806
  • Fax: 765-983-3219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number23002520A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: