Individual
MS. EMILY BURGESS SANDFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(414) 294-8828
Mailing address
376 CHASE AVE, DE PERE, WI 54115-4071
(414) 294-8288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA055740
PA
363A00000X
Physician Assistant
Primary
PA173023
OR
363AS0400X
Surgical Physician Assistant
3100-23
WI
Other
Enumeration date
10/04/2012
Last updated
12/28/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us