Provider Demographics
NPI:1750665113
Name:BEIER-ABDELMAWGOUD, SARAH R (LAC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:R
Last Name:BEIER-ABDELMAWGOUD
Suffix:
Gender:F
Credentials:LAC
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Mailing Address - Street 1:1335 LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53172-3533
Mailing Address - Country:US
Mailing Address - Phone:414-418-8187
Mailing Address - Fax:
Practice Address - Street 1:1524 S GREEN BAY RD
Practice Address - Street 2:5 ELEMENTS HEALTH & WELLNESS, LLC
Practice Address - City:MOUNT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53406-5788
Practice Address - Country:US
Practice Address - Phone:262-884-7580
Practice Address - Fax:262-884-7589
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
734-055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist