Sieraski, Madelyn C

Sieraski, Madelyn C is an individual health care provider with primary practice located at Prohealth Care Medical Centers-South 2130 Big Bend Road, Waukesha WI 53189. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sieraski, Madelyn C can be contacted via phone (262) 928-7555.

Contact Information

Primary practice address
Prohealth Care Medical Centers-South 2130 Big Bend Road Waukesha WI 53189
Phone: (262) 928-7555
Fax: (262) 513-7575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32517 Wisconsin

Profile Details

NPI number 1902879737
LBN Legal business name Sieraski, Madelyn C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Mar 13th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902879737 NPPES
Wisconsin MEDICAID 31755700

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