MEDICARE: SARAH SALEEMI

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	208M00000X	Hospitalist Physician	73450	WI
2	207R00000X	Internal Medicine Physician	73450-20	WI

General Provider Information

NPI Number	:	1922422807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH SALEEMI

Provider Business Mailing Address
First Line	:	4321 W COLLEGE AVE STE 200
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54914-3968
Country	:	US
Telephone Number	:	920-267-5576
Fax Number	:

Provider Business Practice Location Address
First Line	:	4321 W COLLEGE AVE STE 200
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54914-3968
Country	:	US
Telephone Number	:	920-267-5576
Fax Number	:

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

Provider Enumeration Date	:	02/12/2014
Last Update Date	:	05/08/2025

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Directions to “ SARAH SALEEMI ” Practice Location

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