MEDICARE: DR. MICHAEL SADOWSKI D.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
1	111N00000X	Chiropractor	2301007425	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CH630170	OTHER		MCARE
2	629128	OTHER	MI	AMERICAN CHIRO NETWORK
3	0F35447	OTHER	MI	BLUE CARE NETWORK
4	0F35447	OTHER	MI	BCBSM
5	133366	OTHER	MI	PREFERRED CHOICES PPO

General Provider Information

NPI Number	:	1912033754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL SADOWSKI D.C.

Provider Business Mailing Address
First Line	:	2624 S MILFORD RD
Second Line	:
City	:	HIGHLAND
State	:	MI
Zip	:	48357-4938
Country	:	US
Telephone Number	:	248-684-4449
Fax Number	:	248-684-4413

Provider Business Practice Location Address
First Line	:	2624 S MILFORD RD
Second Line	:
City	:	HIGHLAND
State	:	MI
Zip	:	48357-4938
Country	:	US
Telephone Number	:	248-684-4449
Fax Number	:	248-684-4413

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	07/17/2007

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