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NPI Code Detail

MEDICARE: JAROSLAW SAWKA D.O.

MEDICARE: JAROSLAW SAWKA D.O.
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
1207Q00000XFamily Medicine Physician5101006651MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750373478
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAROSLAW SAWKA D.O.
Provider Business Mailing Address
First Line : 27774 FRANKLIN RD
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48034-2352
Country : US
Telephone Number : 248-356-5555
Fax Number : 248-356-5544
Provider Business Practice Location Address
First Line : 3040 E 7 MILE RD
Second Line :
City : DETROIT
State : MI
Zip : 48234-1662
Country : US
Telephone Number : 313-368-0705
Fax Number : 313-368-0727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 01/19/2012

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Directions to “ JAROSLAW SAWKA D.O.” Practice Location

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