Organization
SHERIDAN HEALTHCARE SERVICES OF WISCONSIN, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 261-4210
(920) 261-3940
Mailing address
PO BOX 744540, ATLANTA, GA 30374-4540
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/19/2017
Last updated
05/05/2023
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