Individual
DR. SARAH GRIM HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
425 PINE RIDGE BLVD STE 305, WAUSAU, WI 54401-4124
(715) 847-2626
Mailing address
425 PINE RIDGE BLVD STE 305, WAUSAU, WI 54401-4124
(715) 847-2626
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
57456-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2008
Last updated
02/05/2021
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