Provider Demographics
NPI:1942442413
Name:HOFMEISTER, SABRINA LAUREN (DO)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:LAUREN
Last Name:HOFMEISTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:LAUREN
Other - Last Name:TALAROVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-955-8664
Mailing Address - Fax:414-955-0064
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-955-8664
Practice Address - Fax:414-955-0064
Is Sole Proprietor?:No
Enumeration Date:2009-03-30
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36130211207Q00000X
WI55001207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1942442413Medicaid
WI1942442413Medicaid