MEDICARE: SARAH CONANT

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
1	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1639909724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH CONANT

Provider Business Mailing Address
First Line	:	1118 E LEXINGTON BLVD
Second Line	:
City	:	WHITEFISH BAY
State	:	WI
Zip	:	53217-5382
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1118 E LEXINGTON BLVD
Second Line	:
City	:	WHITEFISH BAY
State	:	WI
Zip	:	53217-5382
Country	:	US
Telephone Number	:	414-239-0901
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2024
Last Update Date	:	08/05/2024

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Directions to “ SARAH CONANT ” Practice Location

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