Individual
NICOLE MARIE SAUTBINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-7000
Mailing address
W242S7220 CAMERON DR, WAUKESHA, WI 53189-9371
(262) 391-7049
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3423
WI
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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