Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 036-114484 | IL |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 52047 | WI |
NPI | 1972602852 |
---|---|
Provider Name | Sarit O. Aschkenazi-Steinberg |
First Address | Oconomowoc, WI 53066-3844 |
Second Address | Oconomowoc, WI 53066-3844 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 28/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036114484 | (05) | IL |
1620385 | BLUE SHIELD (01) | IL |
I43295 | (02) | IL |