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NPI Code Detail

MEDICARE: DR. SARAH J. PRATT MD

MEDICARE:  DR. SARAH J. PRATT  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician22499WI

General Provider Information

NPI Number : 1427384486
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH J. PRATT MD
Provider Business Mailing Address
First Line : 3062 E NEWPORT CT
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-2910
Country : US
Telephone Number : 414-332-0969
Fax Number :
Provider Business Practice Location Address
First Line : 3062 E NEWPORT CT
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-2910
Country : US
Telephone Number : 414-332-0969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2009
Last Update Date : 10/27/2009

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Directions to “ DR. SARAH J. PRATT MD” Practice Location

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