Healthcare Provider Details

I. General information

NPI: 1154112050
Provider Name (Legal Business Name): ALLISON LYNN SEDMAK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 NW BARSTOW ST
WAUKESHA WI
53188-3771
US

IV. Provider business mailing address

517 S 65TH ST
MILWAUKEE WI
53214-1725
US

V. Phone/Fax

Practice location:
  • Phone: 262-548-6903
  • Fax:
Mailing address:
  • Phone: 414-559-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: