Healthcare Provider Details

I. General information

NPI: 1972602852
Provider Name (Legal Business Name): SARIT O. ASCHKENAZI-STEINBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 10/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 SUMMIT AVE STE 101 PROHEALTH CARE WOMEN'S CENTER
OCONOMOWOC WI
53066-3844
US

IV. Provider business mailing address

785 SUMMIT AVE STE 101 PROHEALTH CARE WOMEN'S CENTER
OCONOMOWOC WI
53066-3844
US

V. Phone/Fax

Practice location:
  • Phone: 262-569-0345
  • Fax: 262-569-0333
Mailing address:
  • Phone: 262-569-0345
  • Fax: 262-569-0333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036-114484
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number52047
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: