Individual provider · NPI-1

Dr. Sandra G Amadon, M.D.

Preventive Medicine, Occupational Medicine · Waukesha, WI

NPI number1699747394
StatusActive
Last updated in NPPESApr 4, 2024

Details

NPI
1699747394
Entity type
Individual (NPI-1)
Name
Dr. Sandra G Amadon
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Feb 6, 2006
Certification date
Apr 4, 2024
Last updated
Apr 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083X0100X Preventive Medicine, Occupational Medicine35976WIYes
207Q00000X Family Medicine35976WI

Practice location

240 Maple Ave
Prohealth Care Medical Associates INC.
Waukesha, WI 53149-8475

Phone 262-928-1900

Mailing address

240 Maple Ave
Prohealth Care Medical Associates INC.
Waukesha, WI 53149-8475

Phone 262-928-1900

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Preventive Medicine, Occupational Medicine providers in Waukesha, WI