Individual
CODY SADIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
709 MARSHALL ST UPPR, LAKE GENEVA, WI 53147-1435
(262) 325-4454
Mailing address
709 MARSHALL ST UPPR, LAKE GENEVA, WI 53147-1435
(262) 325-4454
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1111571-30
WI
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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