Individual
SALLY JO SOBEL-RADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NNP
Contact information
Practice address
725 AMERICAN AVE 3RD FL NICU, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53188-5031
(262) 928-7276
Mailing address
725 AMERICAN AVE 3RD FL NICU, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53188-5031
(262) 928-7276
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
180310-9
MN
163WN0002X
Neonatal Intensive Care Registered Nurse
96429-030
WI
363LN0000X
Neonatal Nurse Practitioner
Primary
1022
WI
Other
Enumeration date
07/09/2007
Last updated
11/04/2013
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