Individual
SARAH LYNN VAITHILINGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4600 W SCHROEDER DR, BROWN DEER, WI 53223-6458
(800) 767-4411
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-4411
(262) 646-1049
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
81049
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2016
Last updated
10/20/2022
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