Individual
MS. SANDRA HUITINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC EMERGENCY MEDICINE, MILWAUKEE, WI 53226-4874
(414) 266-2625
(414) 266-2635
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC EMERGENCY MEDICINE, MILWAUKEE, WI 53226-4874
(414) 266-2625
(414) 266-2635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1072-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006806261V
HUMANA
—
05
—
1760433593
—
WI
Enumeration date
05/15/2006
Last updated
01/25/2013
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