Healthcare Provider Details

I. General information

NPI: 1508507518
Provider Name (Legal Business Name): SYDNEE ELIZABETH RAUSCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 N MAYFAIR RD
WAUWATOSA WI
53226-3462
US

IV. Provider business mailing address

1155 N MAYFAIR RD
WAUWATOSA WI
53226-3462
US

V. Phone/Fax

Practice location:
  • Phone: 414-955-5990
  • Fax: 414-955-6282
Mailing address:
  • Phone: 414-955-5990
  • Fax: 414-955-6282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number87319-020
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: