Healthcare Provider Details

I. General information

NPI: 1598672230
Provider Name (Legal Business Name): SAGAR KETANKUMAR PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N OAK AVE
MARSHFIELD WI
54449-5702
US

IV. Provider business mailing address

2408 N PEACH AVE APT 1
MARSHFIELD WI
54449-8350
US

V. Phone/Fax

Practice location:
  • Phone: 715-207-4846
  • Fax:
Mailing address:
  • Phone: 715-207-4846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number102072-851
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: