Individual provider · Type 1 NPI

Nicole Marie Sautbine, PA

Surgical Physician Assistant · Kenosha, WI

NPI number 1992103626 Active

Practice location

10400 75th St
Kenosha, WI 53142-7884

Call (262) 948-7000 Map

Mailing address

W242S7220 Cameron Dr
Waukesha, WI 53189-9371

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X3423 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1992103626

Nicole Marie Sautbine, PA's National Provider Identifier is 1992103626, issued on Dec 11, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kenosha, WI. The record was last updated on Dec 11, 2014.