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Contact Information

SAMANTHA SERAK
9200 W WISCONSIN AVE
MILWAUKEE, WI53226-3522
 Phone: 414-805-8700
 Fax: 414-259-1522
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
Indicates primary specialty

NPI Profile & details for SAMANTHA SERAK · (Female)

NPI # 1225858228
Status Active
Credentials
Entity Individual
Enumeration date 10/14/2024
Last updated 01/29/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 569-17
  • WI Medicaid 1225858228
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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