Sonderman, Philip L

Sonderman, Philip L is an individual health care provider with primary practice located at 13800 W North Avenue Suite 110, Brookfield WI 53005. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Sonderman, Philip L can be contacted via phone (262) 717-4000.

Contact Information

Primary practice address
13800 W North Avenue Suite 110 Brookfield WI 53005
Phone: (262) 717-4000
Fax: (262) 641-7435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 28087 Wisconsin
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 28087 Wisconsin

Profile Details

NPI number 1992709323
LBN Legal business name Sonderman, Philip L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated May 19th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992709323 NPPES
Wisconsin MEDICAID 31783900

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