Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4992-12 | WI |
NPI | 1003238551 |
---|---|
Provider Name | Robin Sadler |
First Address | Wauwatosa, WI 53226-2315 |
Second Address | Wauwatosa, WI 53226-2315 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2014 |
Last Update Date | 23/07/2014 |