Individual
KELLY SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 145, MILWAUKEE, WI 53215-3624
(414) 649-3240
(414) 649-3244
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 385-2301
(414) 385-8791
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.150493
IL
208600000X
Surgery Physician
Primary
23036
WI
208600000X
Surgery Physician
O-1388
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215196
—
WI
Enumeration date
02/28/2014
Last updated
06/08/2023
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