Healthcare Provider Details

I. General information

NPI: 1922422807
Provider Name (Legal Business Name): SARAH SALEEMI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2014
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 W COLLEGE AVE STE 200
APPLETON WI
54914-3968
US

IV. Provider business mailing address

4321 W COLLEGE AVE STE 200
APPLETON WI
54914-3968
US

V. Phone/Fax

Practice location:
  • Phone: 920-267-5576
  • Fax:
Mailing address:
  • Phone: 920-267-5576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number73450
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number73450-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: