Organization
SHERRY L PROWATZKE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY L PROWATZKE MD (MEDICAL DOCTOR)
(262) 798-1910
Entity
Organization
Contact information
Practice address
20611 WATERTOWN RD, SUITE E, WAUKESHA, WI 53186-1871
(262) 798-1910
(262) 798-8660
Mailing address
20611 WATERTOWN RD, SUITE E, WAUKESHA, WI 53186-1871
(262) 798-1910
(262) 798-8660
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31478
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3161400
—
WI
Enumeration date
09/01/2009
Last updated
09/09/2009
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