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Individual

DR. SARAH DEMERITT FEDELI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 787-6900
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
(217) 545-4401
(217) 545-1793

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125.069165
IL
208600000X
Surgery Physician
Primary
76348
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100188936
WI
Enumeration date
06/13/2016
Last updated
09/25/2023
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