Individual
SARAH LYNE GODBERT GAETHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
215 WASHINGTON ST, GRAFTON, WI 53024-1700
(262) 375-3700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50722-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35307800
—
WI
Enumeration date
01/15/2007
Last updated
11/28/2023
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