Provider Demographics
NPI:1104221092
Name:BREMER, SHARON ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ANNE
Last Name:BREMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 LANDIMORE LN
Mailing Address - Street 2:
Mailing Address - City:WALES
Mailing Address - State:WI
Mailing Address - Zip Code:53183-9552
Mailing Address - Country:US
Mailing Address - Phone:262-968-5808
Mailing Address - Fax:
Practice Address - Street 1:423 LANDIMORE LN
Practice Address - Street 2:
Practice Address - City:WALES
Practice Address - State:WI
Practice Address - Zip Code:53183-9552
Practice Address - Country:US
Practice Address - Phone:262-968-5808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-04
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI312782084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology