Individual
SARAH M CRIDELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13800 W NORTH AVE, BROOKFIELD, WI 53005-4977
(262) 432-6600
(262) 432-6604
Mailing address
13800 W NORTH AVE, BROOKFIELD, WI 53005-4977
(262) 432-6600
(262) 432-6604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5816
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659996957
—
WI
Enumeration date
06/11/2020
Last updated
11/09/2022
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