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NPI Code Detail

MEDICARE: SIERRA POWDHAR

MEDICARE: SIERRA POWDHAR
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1700426855
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA POWDHAR
Provider Business Mailing Address
First Line : 26300 OUTER DR
Second Line :
City : LINCOLN PARK
State : MI
Zip : 48146-2019
Country : US
Telephone Number : 734-785-7705
Fax Number :
Provider Business Practice Location Address
First Line : 26300 OUTER DR
Second Line :
City : LINCOLN PARK
State : MI
Zip : 48146-2019
Country : US
Telephone Number : 734-785-7705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2020
Last Update Date : 12/05/2025

Similar Medicare Providers

1700997152 — MS. JOELEE ANN BATEMAN LMSW
Practice Location Address:
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1265553903 — MS. LISA PALMIERI RN
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1083735179 — KATIE LYNN KINER LLPC
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1356462626 — MRS. SHOSHI ZOHAR M.A.
Practice Location Address:
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Directions to “ SIERRA POWDHAR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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