Individual
MRS. STACEY RENEE SANDBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7850 AUTUMN POND TRL, MIDDLETON, WI 53562-4083
(608) 413-0214
Mailing address
7850 AUTUMN POND TRL, MIDDLETON, WI 53562-4083
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4428-33
WI
Other
Enumeration date
04/16/2007
Last updated
06/24/2025
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