MEDICARE: SANDRA A KAMNETZ 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
1	207Q00000X	Family Medicine Physician	24542	WI

General Provider Information

NPI Number	:	1750344495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA A KAMNETZ MD

Provider Business Mailing Address
First Line	:	3365 PETERSON RD
Second Line	:
City	:	MCFARLAND
State	:	WI
Zip	:	53558-9785
Country	:	US
Telephone Number	:	608-838-6871
Fax Number	:

Provider Business Practice Location Address
First Line	:	3365 PETERSON RD
Second Line	:
City	:	MCFARLAND
State	:	WI
Zip	:	53558-9785
Country	:	US
Telephone Number	:	608-838-6871
Fax Number	:

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

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	04/09/2024

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