Individual
SARA MARIE LAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC HOSPITALIST DIVISION, MILWAUKEE, WI 53226-4874
(414) 337-7050
(414) 337-7020
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC HOSPITALIST DIVISION, MILWAUKEE, WI 53226-4874
(414) 337-7050
(414) 337-7020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125-056549
IL
208000000X
Pediatrics Physician
Primary
57400
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235366576
—
WI
Enumeration date
06/13/2009
Last updated
08/02/2012
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