Individual
SHARON HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-4411
(262) 646-1049
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-4411
(262) 646-1049
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
64760
WI
2084P0804X
Child & Adolescent Psychiatry Physician
64760
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088827
—
IL
05
—
100048957
—
WI
Enumeration date
03/27/2007
Last updated
02/27/2017
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