Individual
MRS. SARAH BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
950 WOODLAKE RD, KOHLER, WI 53044-1348
(920) 496-4700
Mailing address
950 WOODLAKE RD, KOHLER, WI 53044-1348
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62136-020
WI
207Q00000X
Family Medicine Physician
MD.31121
AL
207Q00000X
Family Medicine Physician
MT193190
PA
Other
Enumeration date
07/08/2008
Last updated
02/09/2021
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