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NPI Code Detail

MEDICARE: EMMA K SHARP PA

MEDICARE: EMMA K SHARP PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant5601008738MI
2363A00000XPhysician Assistant5601008738MI

General Provider Information

NPI Number : 1245710417
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA K SHARP PA
Provider Business Mailing Address
First Line : 616 MEIJER DR # 101
Second Line :
City : CHARLOTTE
State : MI
Zip : 48813-8457
Country : US
Telephone Number : 517-543-7976
Fax Number :
Provider Business Practice Location Address
First Line : 616 MEIJER DR # 101
Second Line :
City : CHARLOTTE
State : MI
Zip : 48813-8457
Country : US
Telephone Number : 517-543-7976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 10/05/2022

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Directions to “ EMMA K SHARP PA” Practice Location

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