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NPI Code Detail

MEDICARE: SARAH MCANDREW MD SC

MEDICARE: SARAH MCANDREW MD SC
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 Physician6387920WI

General Provider Information

NPI Number : 1457853731
Entity Type Code : Organization
Provider Name (Legal Business Name) : SARAH MCANDREW MD SC
Provider Business Mailing Address
First Line : PO BOX 1327
Second Line :
City : BROOKFIELD
State : WI
Zip : 53008-1327
Country : US
Telephone Number : 414-447-7330
Fax Number :
Provider Business Practice Location Address
First Line : 17230 SAINT JAMES RD
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-2051
Country : US
Telephone Number : 414-447-7330
Fax Number :
Authorized Official
Title or Position : PHYSICIAN, NEONATOLOGIST
Name : DR. SARAH ELIZABETH MCANDREW
Credential : MD
Telephone Number : 262-442-8230
Provider Enumeration Date : 03/02/2018
Last Update Date : 11/09/2024

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