Healthcare Provider Details

I. General information

NPI: 1104510593
Provider Name (Legal Business Name): SARAH BESS UNGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7870W US HIGHWAY 2
MANISTIQUE MI
49854-1599
US

IV. Provider business mailing address

7870W US HIGHWAY 2
MANISTIQUE MI
49854-1599
US

V. Phone/Fax

Practice location:
  • Phone: 906-341-3200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704329763
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: