Individual
MARY ANN SONSALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
PROHEALTH CARE MEDICAL CENTERS-MUSKEGO, S69 W15636 JANESVILLE ROAD, MUSKEGO, WI 53150
(262) 928-7000
(414) 422-2075
Mailing address
WAUKESHA HEALTH CARE INC., N17 W24100 RIVERWOOD DRIVE SUITE 250, WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40980
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32538400
—
WI
Enumeration date
02/10/2006
Last updated
03/13/2009
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