Individual
MS. SARAH P. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 DELAFIELD STREET, SUITE 115, WAUKESHA, WI 53188
(262) 542-2536
(262) 542-2791
Mailing address
1111 DELAFIELD STREET, SUITE 115, WAUKESHA, WI 53188
(262) 542-2536
(262) 542-2791
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
47397-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34841400
—
WI
Enumeration date
06/09/2006
Last updated
09/28/2009
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