Individual
SARAH N STACHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(414) 333-6169
(262) 948-7329
Mailing address
10400 75TH ST, ANESTHESIA, KENOSHA, WI 53142
(262) 948-6768
(262) 948-7329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1969023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42887100
—
WI
Enumeration date
10/06/2006
Last updated
11/24/2021
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