Healthcare Provider Details

I. General information

NPI: 1609571231
Provider Name (Legal Business Name): SABRINA BARRETTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 S LAPEER RD STE 100
OXFORD MI
48371-5042
US

IV. Provider business mailing address

690 WILLOW LAKE CT
OXFORD MI
48371-6379
US

V. Phone/Fax

Practice location:
  • Phone: 248-218-9266
  • Fax:
Mailing address:
  • Phone: 586-850-4428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101029491
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: