Doctor Name: | SARAH MATUSZEK |
NPI Number: | 1083098420 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | COA.17636-NP |
Business Practice Address: | 777 Kimole Ln Suite 230 Adrian, MI - 492211478 |
Business Phone Number: | 5172635655 |
Business Fax Number: | 5172638012 |
Mailing Address: | 5855 Monroe St, SYLVANIA |
State: | OH |
Postal Code: | 435602269 |
Phone Number: | 4198247451 |
Fax Number: | 4198247359 |
NPI Enumeration Date: | 07/15/2015 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA.17636-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |