Basic Information
| Provider Information | |||||||||
| NPI: | 1184949000 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SGAMBATI | ||||||||
| FirstName: | CHERIE | ||||||||
| MiddleName: | |||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3365 S 103RD ST | ||||||||
| Address2: | |||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532274161 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4142284800 | ||||||||
| FaxNumber: | 2624329004 | ||||||||
| Practice Location | |||||||||
| Address1: | 3365 S 103RD ST | ||||||||
| Address2: | |||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532274161 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4142284800 | ||||||||
| FaxNumber: | 2624329004 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2010 | ||||||||
| LastUpdateDate: | 03/03/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | DO0000002601 | TN | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 2084P0804X | 1679-321 | WI | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry |
No ID Information.