SearchWisconsin314000000X

Sara Roark

NPI 1245638378 · on the registry since 2014 · sole proprietor

Practice

Address
9047 W Greenfiled Ave
West Allis, WI 53214
Phone
(414) 453-9290
Fax
(414) 777-7356

Registry record

Primary taxonomy
314000000X
314000000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin