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NPI Code Detail

MEDICARE: ELIZABETH SEHNERT PA-C

MEDICARE: ELIZABETH SEHNERT PA-C
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
1363AM0700XMedical Physician Assistant2453WI

General Provider Information

NPI Number : 1811050651
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SEHNERT PA-C
Provider Business Mailing Address
First Line : 11430 N PORT WASHINGTON RD
Second Line :
City : MEQUON
State : WI
Zip : 53092-3414
Country : US
Telephone Number : 262-518-1900
Fax Number :
Provider Business Practice Location Address
First Line : 11430 N PORT WASHINGTON RD
Second Line :
City : MEQUON
State : WI
Zip : 53092-3414
Country : US
Telephone Number : 262-518-1900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 05/03/2022

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Directions to “ ELIZABETH SEHNERT PA-C” Practice Location

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