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NPI Code Detail

MEDICARE: SARAH MARIE WILKINSON

MEDICARE: SARAH MARIE WILKINSON
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
1163W00000XRegistered Nurse16104230WI

General Provider Information

NPI Number : 1861656878
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MARIE WILKINSON
Provider Business Mailing Address
First Line : 601A E OTJEN ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-1613
Country : US
Telephone Number : 262-745-5232
Fax Number :
Provider Business Practice Location Address
First Line : 601A E OTJEN ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-1613
Country : US
Telephone Number : 262-745-5232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2008
Last Update Date : 07/18/2008

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