Provider Demographics
NPI:1639119936
Name:FOX, SARAH E (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:FOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 BRANGER DR
Mailing Address - Street 2:
Mailing Address - City:MINERAL POINT
Mailing Address - State:WI
Mailing Address - Zip Code:53565-9286
Mailing Address - Country:US
Mailing Address - Phone:608-987-2346
Mailing Address - Fax:608-987-2490
Practice Address - Street 1:1050 BRANGER DR
Practice Address - Street 2:
Practice Address - City:MINERAL POINT
Practice Address - State:WI
Practice Address - Zip Code:53565-9286
Practice Address - Country:US
Practice Address - Phone:608-987-2346
Practice Address - Fax:608-987-2490
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI49559-20207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI35326900Medicaid