Individual
MS. SANDRA L. DOXTATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
959 N MAYFAIR RD, PAIN MANAGEMENT CENTER, MILWAUKEE, WI 53226-3465
(414) 456-7610
(414) 456-6024
Mailing address
959 N MAYFAIR RD, PAIN MANAGEMENT CENTER, MILWAUKEE, WI 53226-3465
(414) 456-7610
(414) 456-6024
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1402
WI
363LW0102X
Women's Health Nurse Practitioner
1402
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881895209
—
WI
Enumeration date
05/31/2007
Last updated
05/05/2016
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