Individual
SARA KAEBISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 HIGHLAND AVE, MADISON, WI 53705-2221
(608) 263-5620
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5112
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100171848
—
WI
Enumeration date
03/14/2020
Last updated
05/07/2024
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