Healthcare Provider Details

I. General information

NPI: 1457853731
Provider Name (Legal Business Name): SARAH MCANDREW MD SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2018
Last Update Date: 11/09/2024
Certification Date: 11/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17230 SAINT JAMES RD
BROOKFIELD WI
53045-2051
US

IV. Provider business mailing address

PO BOX 1327
BROOKFIELD WI
53008-1327
US

V. Phone/Fax

Practice location:
  • Phone: 414-447-7330
  • Fax:
Mailing address:
  • Phone: 414-447-7330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number6387920
License Number StateWI

VIII. Authorized Official

Name: DR. SARAH ELIZABETH MCANDREW
Title or Position: PHYSICIAN, NEONATOLOGIST
Credential: MD
Phone: 262-442-8230