Healthcare Provider Details

I. General information

NPI: 1861576407
Provider Name (Legal Business Name): SARAH DENNISON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 N SHORE DR
RHINELANDER WI
54501-6713
US

IV. Provider business mailing address

2251 N SHORE DR
RHINELANDER WI
54501-6713
US

V. Phone/Fax

Practice location:
  • Phone: 715-361-4700
  • Fax: 715-361-4319
Mailing address:
  • Phone: 715-361-4700
  • Fax: 715-361-4319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number051065
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number85643-20
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01085739A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036-108748
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: