Individual
SARAH KESSENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-5000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
69979-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082557
—
WI
Enumeration date
04/04/2017
Last updated
03/01/2024
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