Healthcare Provider Details

I. General information

NPI: 1053636787
Provider Name (Legal Business Name): SARAH HOFFMANN VEPRASKAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2010
Last Update Date: 12/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 N 92ND ST
MILWAUKEE WI
53226-4875
US

IV. Provider business mailing address

PO BOX 1997 CHILDRENS CORPORATE CENTER, SUITE 560
MILWAUKEE WI
53201-1997
US

V. Phone/Fax

Practice location:
  • Phone: 414-955-4575
  • Fax: 414-955-6528
Mailing address:
  • Phone: 414-337-7050
  • Fax: 414-337-7860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number56760-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: