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NPI Code Detail

MEDICARE: SARAH MADSEN PA-C

MEDICARE: SARAH MADSEN PA-C
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
1363A00000XPhysician AssistantMI

General Provider Information

NPI Number : 1760041099
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MADSEN PA-C
Provider Business Mailing Address
First Line : 15678 CRAIG
Second Line :
City : FRASER
State : MI
Zip : 48026-2621
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15855 19 MILE RD
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48038-3504
Country : US
Telephone Number : 586-203-2601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2019
Last Update Date : 03/03/2026

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