Individual
MS. SARAH M MISUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9200 W WISCONSIN AVE, GENERAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-6584
(414) 805-5771
Mailing address
9200 W WISCONSIN AVE, GENERAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-6584
(414) 805-5771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2448
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427285261
—
WI
Enumeration date
06/19/2009
Last updated
10/17/2012
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