Healthcare Provider Details

I. General information

NPI: 1063193290
Provider Name (Legal Business Name): SARAH ELSWICK, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 07/31/2023
Certification Date: 07/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W BIG BEAVER RD SUITE 1130
TROY MI
48084-5298
US

IV. Provider business mailing address

2545 MUNSTER RD
ROCHESTER HILLS MI
48309-2323
US

V. Phone/Fax

Practice location:
  • Phone: 248-524-0620
  • Fax: 248-524-0620
Mailing address:
  • Phone: 419-512-2329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH MICHELE ELSWICK
Title or Position: OWNER
Credential: MD
Phone: 419-512-2329